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Mariah Jordan, PTA
NPI 1528734571 · on the registry since 2021
Practice
- Address
- 4180 Sage Bluff Xing
Fort Wayne, IN 46804 - Phone
- (260) 443-7300
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana