JORDAN DAVID PRIEBE

LAKELAND, FL
NPI1457730335
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  25673)
Enumeration Date2015-05-25
Last Update Date2015-05-25
Business Address
-- JORDAN DAVID PRIEBE PTA
5245 N SOCRUM LOOP RD
LAKELAND, FL 33809-4253
Phone number: 863-859-1446
Mailing Address
-- JORDAN DAVID PRIEBE PTA
16744 CAGAN CROSSINGS BLVD APT. 7
CLERMONT, FL 34714-4886
Phone number: 321-439-1356
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