Individual
JORDAN NICOLE HARDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4075 TIMBERLINE ST, GRAND ISLAND, NE 68803-6553
(308) 384-3535
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1332
NE
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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