Individual
JORDAN CAROLINE RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8101 E MISSISSIPPI AVE, DENVER, CO 80247-1104
(702) 605-5263
Mailing address
2625 ZOYSIA LN, CONWAY, AR 72034-8462
(479) 459-7771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP007628T
CO
225100000X
Physical Therapist
PT4864
AR
Other
Enumeration date
05/17/2021
Last updated
09/16/2021
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