Individual
JORDAN MCKITTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3815 W BROADWAY AVE, ROBBINSDALE, MN 55422-2207
(612) 332-4262
Mailing address
400 8TH ST SE, MINNEAPOLIS, MN 55414-1224
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1584
MN
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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