Individual
ALICIA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD/CREDENTIALS, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
(210) 916-5102
Mailing address
1553 FM 536, FLORESVILLE, TX 78114-4821
(903) 253-6318
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1219247
TX
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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