Individual
JORDAN ENTREKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1781 E COTTONWOOD RD, DOTHAN, AL 36301-5309
(334) 678-2800
Mailing address
1781 E COTTONWOOD RD, DOTHAN, AL 36301-5309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9816
AL
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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