Individual
JOSEPH EDWARD JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 PINE CONE PL, PINE VALLEY, UT 84781-2375
(801) 821-9273
Mailing address
320 PINE CONE PL, PINE VALLEY, UT 84781-2375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NM
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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