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Individual

BECCA D JORDRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
440 E CHERRY ST, VERMILLION, SD 57069-1403
(605) 741-0003
(605) 202-6414
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6250
(630) 575-7450

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1408
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4992120
SOUTH DAKOTA BLUE CROSS BLUE SHIELD
SD
Enumeration date
07/05/2007
Last updated
01/12/2022
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