Organization
THE RESILIENT ATHLETE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA JORDAN PT, DPT, SCS (CO-OWNER)
(720) 299-5398
Entity
Organization
Contact information
Practice address
3155 BLUESTEM DR # 288, WEST FARGO, ND 58078-8002
(701) 353-5476
Mailing address
3155 BLUESTEM DR # 288, WEST FARGO, ND 58078-8002
(701) 353-5476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
45290600
ND
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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