JORDAN ALEXANDER CLEVENGER

TWENTYNINE PALMS, CA
NPI1164076568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT296699)
Enumeration Date2019-07-25
Last Update Date2019-07-25
Business Address
JORDAN ALEXANDER CLEVENGER DPT
5930 ADOBE RD
TWENTYNINE PALMS, CA 92277-2356
Phone number: 760-367-1743
Mailing Address
JORDAN ALEXANDER CLEVENGER DPT
10876 COLD SPRING DR
FISHERS, IN 46038-2532
Phone number: 317-308-9616