Individual provider · Type 1 NPI

Avery Miles Jordan, LPTA/LPN

Physical Therapy Assistant · Richmond, VA

NPI number 1639362809 Active

Practice location

1201 E Broad Rock Rd, Rm 1S-112
Richmond, VA 23249-0001

Call (804) 675-5000 Map

Fax (804) 675-5335

Mailing address

3708 Stamford Cir
Midlothian, VA 23112-3671

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse	164W00000X	0002040749 (VA)
Physical Therapy Assistant Primary	225200000X	2306001152 (VA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1639362809

Avery Miles Jordan, LPTA/LPN's National Provider Identifier is 1639362809, issued on Aug 21, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Richmond, VA. The record was last updated on Aug 21, 2007.