Individual
JORDAN S DOBRUCKY
Active
Individual
JORDAN S DOBRUCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16623
TN
225100000X
Physical Therapist
2305217539
TN
225100000X
Physical Therapist
Primary
2305217539
VA
225100000X
Physical Therapist
PT017191
GA
Other
Enumeration date
05/01/2024
Last updated
04/17/2026
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