JORDAN LUKE GANTHER

MILWAUKEE, WI
NPI1144897695
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  15412-24)
Enumeration Date2021-06-04
Last Update Date2021-06-04
Business Address
JORDAN LUKE GANTHER DPT
7708 W GOOD HOPE RD
MILWAUKEE, WI 53223-4516
Phone number: 414-541-1118
Mailing Address
JORDAN LUKE GANTHER DPT
8800 W LINCOLN AVE
WEST ALLIS, WI 53227-2400
Phone number: 414-541-1118
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