Individual
DR. JORDAN ALEXANDER BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
915 FOLLY RD STE J, CHARLESTON, SC 29412-3907
(843) 203-6955
(843) 805-4908
Mailing address
800 CRESCENT CENTRE DR STE 300, FRANKLIN, TN 37067-7285
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6772
SC
Other
Enumeration date
08/06/2012
Last updated
09/30/2019
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