Individual
JORDAN ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9311 N 56TH ST, TEMPLE TERRACE, FL 33617-5533
(813) 542-2605
Mailing address
9311 N 56TH ST, TEMPLE TERRACE, FL 33617-5533
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32590
FL
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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