Individual
DENISE RENEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15200 JOG RD STE B8, DELRAY BEACH, FL 33446-1246
(561) 495-7171
Mailing address
5127 CORONADO RDG, BOCA RATON, FL 33486-1416
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22817
FL
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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