Individual
JORDAN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
128 GARNER RD, SPARTANBURG, SC 29303-3149
(864) 591-3484
(864) 641-7650
Mailing address
PO BOX 170606, SPARTANBURG, SC 29301-0030
(864) 303-5105
(864) 641-7650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12579
SC
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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