Individual
DEBORAH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
727 W LARAMIE LN, BAYSIDE, WI 53217-1227
(414) 444-4822
(414) 444-4833
Mailing address
727 W LARAMIE LN, BAYSIDE, WI 53217-1227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2026
WI
Other
Enumeration date
01/01/2007
Last updated
07/22/2013
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