Individual
JORDAN DELA CERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(714) 209-2140
Mailing address
3240 SW 34TH ST APT 122, OCALA, FL 34474-7467
(714) 209-2140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT35101
FL
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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