Individual
DR. JORDAN PATRICK ALFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1250 IDAHO ST, LEWISTON, ID 83501-1965
(208) 799-5219
(208) 799-6578
Mailing address
1250 IDAHO ST, LEWISTON, ID 83501-1965
(208) 799-5219
(208) 799-6578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-262
ID
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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