National Provider Identifier

Andrew Monnoyer Jordan, PT, DPT, OCS

Andrew Monnoyer Jordan, PT, DPT, OCS is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Ithaca, NY and a listed phone number of (607) 252-3500.

NPI 1407827926Ithaca, NYOrthopedic Physical Therapist

Profile Overview

NPI
1407827926
Provider Type
Individual
Primary Specialty
Orthopedic Physical Therapist
Enumeration Date
February 01, 2006
Last Updated
March 23, 2010

Practice Location

  • 310 Taughannock Blvd
  • Ithaca, NY 14850-3251

Phone: (607) 252-3500

Specialties

  • Orthopedic Physical Therapist (2251X0800X)
Full Record
NPI
1407827926
Entity Type
Individual
Last Name
Jordan
First Name
Andrew
Middle Name
Monnoyer
Name Prefix
Dr.
Credential
PT, DPT, OCS
Mailing Street Address
310 Taughannock Blvd
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3251
Mailing Country
US
Mailing Phone
(607) 252-3500
Practice Street Address
310 Taughannock Blvd
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-3251
Practice Country
US
Practice Phone
(607) 252-3500
Enumeration Date
February 01, 2006
Last Updated
March 23, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthopedic Physical Therapist (2251X0800X)
Other Identifiers
00332729 (NY)