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Individual

MR. JORDAN WEINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
15762 GLEN WILLOW LN, WELLINGTON, FL 33414-6358
(561) 784-0021
(561) 784-0021
Mailing address
15762 GLEN WILLOW LN, WELLINGTON, FL 33414-6358
(561) 784-0021
(561) 784-0021

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA38880
FL

Other

Enumeration date
04/07/2008
Last updated
04/07/2008
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