Individual provider · Type 1 NPI

Michelle Jordan, PHYSICAL THERAPY ASS

Physical Therapy Assistant · Utica, NY

NPI number 1962040519 Active

Practice location

1676 Sunset Ave
Utica, NY 13502-5416

Call (315) 624-5400 Map

Fax (315) 624-5395

Mailing address

2209 Genesee Street, Business Office Room 315
Utica, NY 13501

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X009541 (NY)

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 1962040519

Michelle Jordan, PHYSICAL THERAPY ASS's National Provider Identifier is 1962040519, issued on Dec 13, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Utica, NY. The record was last updated on Dec 13, 2019.