Basic Information
| Provider Information | |||||||||
| NPI: | 1023419249 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HELMAN | ||||||||
| FirstName: | JORDAN | ||||||||
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| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 ADAMS CT | ||||||||
| Address2: | |||||||||
| City: | MARTINSVILLE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088362392 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082854672 | ||||||||
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| Practice Location | |||||||||
| Address1: | 64 DANBURY RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | WILTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068974438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8002780332 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/07/2014 | ||||||||
| LastUpdateDate: | 09/07/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 11046 | AZ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.