MR. AVERY JORDAN, LPTA/LPN

Physical Therapy Assistant

Active Individual
NPI: 1639362809

Practice Address

1201 E BROAD ROCK RD
RM 1S-112
Richmond, VA 23249

Phone: (804) 675-5000

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X No 0002040749 (VA)
Physical Therapy Assistant 225200000X Yes 2306001152 (VA)

Frequently Asked Questions

NPI 1639362809 is the National Provider Identifier for MR. AVERY JORDAN, LPTA/LPN, a Physical Therapy Assistant provider located in Richmond, VA. This NPI was enumerated on August 21, 2007.
MR. AVERY JORDAN, LPTA/LPN practices at 1201 E BROAD ROCK RD, RM 1S-112, Richmond, VA 23249.

Quick Facts

NPI
1639362809
Type
Individual
Enumerated
Aug 21, 2007
Last Updated
Aug 21, 2007

Nearby Providers