Organization
DYNAMIC SPINE AND SPORT PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN JESSE TURNER P.T. (PRESIDENT)
(714) 263-1834
Entity
Organization
Contact information
Practice address
902 N GRAND AVE, SUITE 100, SANTA ANA, CA 92701-4218
(714) 263-1834
(714) 263-1835
Mailing address
902 N GRAND AVE, SUITE 100, SANTA ANA, CA 92701-4218
(714) 263-1834
(714) 263-1835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT22810
CA
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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