Individual
BECCA D JORDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
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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