Individual
DANIEL COOPER JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2801 ALLISON BONNETT MEMORIAL DR, HUEYTOWN, AL 35023-1859
(205) 545-9905
(205) 545-9969
Mailing address
2531 ROCKY RIDGE RD, SUITE 101, VESTAVIA, AL 35243-4415
(205) 978-7376
(205) 978-0861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH8087
AL
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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