JORDAN STOCKMAN

LOUISVILLE, KY
NPI1407264104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502002341)
Enumeration Date2014-07-25
Last Update Date2014-07-25
Business Address
-- JORDAN STOCKMAN PTA
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
Mailing Address
-- JORDAN STOCKMAN PTA
62 W BACON ST
HILLSDALE, MI 49242-1509
Phone number: 517-425-1550
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