Individual
JORDAN CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
752 E CENTER AVE, MOORESVILLE, NC 28115-2591
(704) 663-3448
Mailing address
301 FESPERMAN CIR, TROUTMAN, NC 28166-7754
(845) 662-2733
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5519
NC
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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