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Organization

THE RESILIENT ATHLETE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA D JORDAN PT, DPT, SCS (CO-OWNER)
(720) 299-5398
Entity
Organization

Contact information

Practice address
3155 BLUESTEM DR # 288, WEST FARGO, ND 58078-8002
(701) 353-5476
Mailing address
3155 BLUESTEM DR # 288, WEST FARGO, ND 58078-8002
(701) 353-5476

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
45290600
ND

Other

Enumeration date
07/02/2018
Last updated
07/02/2018
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