Individual
JORDAN DEL MUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2273
Mailing address
5800 MILGEN RD APT 93, COLUMBUS, GA 31907-5924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000751
MI
Other
Enumeration date
03/13/2018
Last updated
05/12/2026
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