Individual
MR. JORDAN LAWRENCE LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
871 OLD ALICE RD, STE. 600, BROWNSVILLE, TX 78520-8268
(956) 541-2102
Mailing address
8237 BREAKERS BLVD, SOUTH PADRE ISLAND, TX 78597-7642
(956) 541-2102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2065299
TX
225200000X
Physical Therapy Assistant
PTA4255
MS
Other
Enumeration date
07/25/2007
Last updated
12/03/2013
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