National Provider Identifier

Jordan Davies

Jordan Davies is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Angola, NY and a listed phone number of (716) 549-4999.

NPI 1851847636Angola, NYPhysical Therapy Assistant

Profile Overview

NPI
1851847636
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
August 31, 2016
Last Updated
August 31, 2016

Practice Location

  • 8746 Erie RD Ste A
  • Angola, NY 14006-9620

Phone: (716) 549-4999

Mailing Address

  • 616 Moore RD
  • Freedom, NY 14065-9764

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1851847636
Entity Type
Individual
Last Name
Davies
First Name
Jordan
Mailing Street Address
616 Moore RD
Mailing City
Freedom
Mailing State
NY
Mailing ZIP Code
14065-9764
Mailing Country
US
Mailing Phone
(716) 353-2395
Practice Street Address
8746 Erie RD Ste A
Practice City
Angola
Practice State
NY
Practice ZIP Code
14006-9620
Practice Country
US
Practice Phone
(716) 549-4999
Enumeration Date
August 31, 2016
Last Updated
August 31, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)