Individual
MR. JORDAN M FRANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT,ATC,CSCS
Contact information
Practice address
751 N WOODBRIDGE DR, BLOOMINGTON, IN 47408-2778
(440) 864-0949
Mailing address
751 N WOODBRIDGE DR, BLOOMINGTON, IN 47408-2778
(440) 864-0949
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001851A
IN
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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