Individual
JORDAN LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4730 ELMORE AVE STE 1, DAVENPORT, IA 52807-3658
(563) 362-3709
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(309) 661-8801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070027759
IL
225100000X
Physical Therapist
Primary
122037
IA
Other
Enumeration date
12/14/2023
Last updated
01/10/2025
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