Individual
ISAAC JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4703 S LAKESHORE DR STE 2, TEMPE, AZ 85282-7159
(480) 299-7247
Mailing address
4703 S LAKESHORE DR STE 2, TEMPE, AZ 85282-7159
(480) 718-9493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT31998
AZ
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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