Individual
JORDAN MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9150 W INDIAN SCHOOL RD STE 105, PHOENIX, AZ 85037-2385
(623) 500-2409
Mailing address
7270 E 300 N, PORTLAND, IN 47371-8652
(260) 729-1154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30227
AZ
2251P0200X
Pediatric Physical Therapist
LPT-30227
AZ
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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