Individual
JORDAN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1745 W HUNT HWY # B-103, SAN TAN VALLEY, AZ 85143-5215
(480) 568-4580
Mailing address
4050 E COTTON CENTER BLVD STE 18, PHOENIX, AZ 85040-8862
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30725
AZ
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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