Individual
JORDAN CLAYBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4747 N OCEAN DR STE 261, LAUDERDALE BY THE SEA, FL 33308-2956
(310) 405-1945
Mailing address
4747 N OCEAN DR STE 261, LAUDERDALE BY THE SEA, FL 33308-2956
(310) 405-1945
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT 31487
FL
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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