Individual
JORDAN BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 275-5321
Mailing address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 275-5321
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
052535
NY
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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