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NPI Code Detail

MEDICARE: REBECCA JORDAN DPT,PT

MEDICARE: REBECCA JORDAN DPT,PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1740708601
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA JORDAN DPT,PT
Provider Business Mailing Address
First Line : PO BOX 248
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28082-0248
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1401 S RIDGE AVE
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28083-6056
Country : US
Telephone Number : 980-242-0690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2017
Last Update Date : 11/03/2025

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Directions to “ REBECCA JORDAN DPT,PT” Practice Location

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