Individual
JORDAN WILLIAM HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
16055 OLD FOREST PT STE 101B, MONUMENT, CO 80132-8670
(719) 247-8916
Mailing address
16055 OLD FOREST PT STE 101B, MONUMENT, CO 80132-8670
(719) 247-8916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0019888
CO
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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