Individual
MRS. LISA RENEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
303 N. HURSTBOURNE PARKWAY SUITE 200, PARAGON REHABILITATION, LOUISVILLE, KY 40222
(502) 412-5847
Mailing address
517 WOODLAND DR, ROSSFORD, OH 43460-1555
(419) 215-8654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010762
OH
Other
Enumeration date
06/10/2008
Last updated
12/12/2012
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