Individual
SIMONE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1600 NE INTERSTATE 410 LOOP #105, SAN ANTONIO, TX 78209
(888) 727-5659
Mailing address
7402 COPPER CV, CONVERSE, TX 78109-3922
(726) 223-6409
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2158685
TX
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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