Individual
JORDAN GANZEKAUFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(843) 293-1137
Mailing address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
020395
NY
2251G0304X
Geriatric Physical Therapist
Primary
8097
SC
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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