Individual
JORDAN N OLIVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1410 N WOODLAWN BLVD STE D, DERBY, KS 67037-2931
(316) 202-0970
(316) 202-0971
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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