Individual
JORDAN C ALTEKRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12201 TULLAMORE RD, TIMONIUM, MD 21093-7816
(410) 308-7850
(410) 308-7851
Mailing address
12201 TULLAMORE RD, TIMONIUM, MD 21093-7816
(410) 308-7850
(410) 308-7851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22953
MD
Other
Enumeration date
06/24/2009
Last updated
10/22/2014
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