Organization
JORDAN COULON PT DPT PLLC
Active
Other names
Cultivate Physical Therapy & Motion Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN COULON DPT (OWNER)
(432) 889-9281
Entity
Organization
Contact information
Practice address
2606 LOMA DR, MIDLAND, TX 79705-6614
(432) 897-1199
Mailing address
2606 LOMA DR, MIDLAND, TX 79705-6614
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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