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Individual
JORDAN CRAIG PRUNTY
Active
Individual
JORDAN CRAIG PRUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65742
OR
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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