Individual
JORDAN VERBANAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
718 LUETKENHAUS BLVD, WENTZVILLE, MO 63385-3515
(636) 445-5001
Mailing address
647 SPIRIT AIRPARK WEST DR STE 101, CHESTERFIELD, MO 63005-1032
(636) 223-5700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019030179
—
Other
Enumeration date
08/05/2019
Last updated
08/08/2024
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