Individual
JORDAN MORINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17100 N 67TH AVE BLDG 100, GLENDALE, AZ 85308-3612
(623) 979-2747
(623) 979-3122
Mailing address
17100 N 67TH AVE BLDG 100, GLENDALE, AZ 85308-3612
(623) 979-2747
(623) 979-3122
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
LPT-31675
AZ
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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