Individual
JORDAN VAN EPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
2689 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110-4908
(952) 835-4512
(888) 425-0398
Mailing address
7825 3RD ST N STE 105, OAKDALE, MN 55128-5403
(952) 835-4512
(888) 425-0398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12552
MN
225100000X
Physical Therapist
40QA01928500
NJ
Other
Enumeration date
07/02/2020
Last updated
04/06/2022
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