Individual
JORDAN N BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16222 MERIDIAN E STE 101, PUYALLUP, WA 98375-6332
(253) 864-7595
Mailing address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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