| NPI | 1396177069 |
|---|---|
| Other Name | S.L. JORDAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: TX 488) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: TX 488) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |