Individual
JORDAN DALE CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2005 E GREENVILLE ST STE 119, ANDERSON, SC 29621-1575
(864) 964-0505
Mailing address
102 CALEDON CT, GREENVILLE, SC 29615-3129
(706) 206-3230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9918
SC
Other
Enumeration date
11/03/2019
Last updated
11/03/2019
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