Individual
JORDAN BORMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4420 DIXIE HWY, SUITE 122, LOUISVILLE, KY 40216-2988
(502) 447-2750
(502) 449-9062
Mailing address
4420 DIXIE HWY, SUITE 122, LOUISVILLE, KY 40216-2988
(502) 447-2750
(502) 449-9062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006022
KY
225100000X
Physical Therapist
PT27344
FL
Other
Enumeration date
06/11/2012
Last updated
03/07/2013
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