Individual
DANIEL L JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPTA
Contact information
Practice address
7373 E 29TH ST N, WICHITA, KS 67226-3405
(316) 636-1111
(316) 858-3971
Mailing address
7373 E 29TH ST N, WICHITA, KS 67226-3405
(316) 636-1111
(316) 858-3971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
141987
KS
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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