MICHAEL JORDAN

MEDFORD, OR
NPI1093979171
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  8217)
Enumeration Date2008-07-17
Last Update Date2008-07-17
Business Address
-- MICHAEL JORDAN
835 CRATER LAKE AVE
MEDFORD, OR 97504-6505
Phone number: 541-773-7717
Mailing Address
-- MICHAEL JORDAN
835 CRATER LAKE AVE
MEDFORD, OR 97504-6505
Phone number: