Individual
JORDAN LEA FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2105 E ENTERPRISE AVE STE 113, APPLETON, WI 54913-7862
(920) 991-2561
(920) 991-2563
Mailing address
2105 E ENTERPRISE AVE STE 113, APPLETON, WI 54913-7862
(920) 991-2561
(920) 991-2563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16130
WI
2251X0800X
Orthopedic Physical Therapist
PT295955
CA
Other
Enumeration date
01/16/2019
Last updated
07/11/2025
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