Individual
MR. JORDAN ANDERSEN LANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
6601 220TH ST SW, SUITE 1, MOUNTLAKE TERRACE, WA 98043-2166
(425) 775-7274
(425) 775-0963
Mailing address
429 BYRON RD, COLUMBIA, SC 29209-1505
(803) 608-7015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6284
SC
225100000X
Physical Therapist
Primary
PT60198654
WA
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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