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DR. JENNIFER JORDAN LANDER P. T.

Neurology >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1649225624

Individual Registrant:
DR. JENNIFER JORDAN LANDER P. T.
Gender: F
Sole Proprietor

Location and contact information for practice:
163 WINDING WAY  PEMBROKE, GA 31321-5535 US
Tel: 912-547-0181  Fax: 912-653-7979

Contact information for business:
PO BOX 39  PEMBROKE, GA 31321-0039 US
Tel: 912-653-4863  Fax: 912-653-7979

Registration Information:
NPI: 1649225624
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Neurology
GA4288
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
GA4288
Y2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000859075AGA05




HEALTH CARE JOBS GA - Page 1



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