Individual
JORDAN ELISE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1500 KOENIGSTEIN AVE, NORFOLK, NE 68701-3664
(402) 644-7396
Mailing address
1500 KOENIGSTEIN AVE, NORFOLK, NE 68701-3664
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1648
NE
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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