Individual
JORDAN LITSCHEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2515 WHITE BEAR AVE N STE A11, MAPLEWOOD, MN 55109-5118
(651) 275-4706
Mailing address
7581 9TH ST N STE 100, OAKDALE, MN 55128-6635
(651) 748-4338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12233
MN
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
05/13/2021
Last updated
06/10/2021
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