Individual
MS. JORDAN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
(920) 288-5400
Mailing address
1301 ROSEHILL RD APT 57, LITTLE CHUTE, WI 54140-2479
(920) 246-1249
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1519-39
WI
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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