Individual
DR. JORDAN W MCLENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014814A
IN
225100000X
Physical Therapist
2021001542
MO
Other
Enumeration date
07/21/2021
Last updated
10/28/2022
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