Individual
JORDAN MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 TIMBER DR E, GARNER, NC 27529-6924
(919) 863-6991
Mailing address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17187
NC
225100000X
Physical Therapist
PT023695
PA
Other
Enumeration date
01/25/2016
Last updated
07/16/2019
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