Individual
JORDAN ABAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
27450 YNEZ RD STE 120, TEMECULA, CA 92591-4649
(951) 695-5144
(951) 695-9345
Mailing address
600 CENTRAL AVE STE C, LAKE ELSINORE, CA 92530-2740
(951) 696-9353
(951) 973-7216
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
299468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831790567
—
CA
Enumeration date
11/09/2020
Last updated
05/13/2021
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