Individual
JESSICA Y TAKATSUKI-JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
55 SPRING ST, SUITE A, SCARBOROUGH, ME 04074-8926
(207) 396-7337
(207) 885-4349
Mailing address
44 WILLOW LN, PORTLAND, ME 04102-2629
(207) 747-8615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4518
ME
Other
Enumeration date
04/25/2017
Last updated
05/15/2024
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