Individual
DEBRA L. JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1235 E HARMONT DR, PHOENIX, AZ 85020-3864
(602) 331-1470
(602) 678-5803
Mailing address
2747 W PLUM HOLLOW DR, ANTHEM, AZ 85086-1204
(702) 203-7020
(623) 551-0627
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
667
NV
2251P0200X
Pediatric Physical Therapist
Primary
10963
AZ
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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