Individual
JORDAN ROSS HENDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6500 N PORTLAND AVE, OKLAHOMA CITY, OK 73116-2035
(405) 767-6500
Mailing address
11024 NW 106TH CIR, YUKON, OK 73099-8078
(405) 593-9386
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3309
OK
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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