Individual
JORDAN WOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PT, DPT
Contact information
Practice address
3131 S VAUGHN WAY STE 125, AURORA, CO 80014-3501
(303) 755-1116
Mailing address
PO BOX 332, PENGILLY, MN 55775-0332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12506
MN
225100000X
Physical Therapist
LPT-32107
AZ
Other
Enumeration date
01/17/2022
Last updated
10/11/2023
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