JORDAN ENRIQUEZ

TEMPLE TERRACE, FL
NPI1699653865
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA32590)
Enumeration Date2025-08-25
Last Update Date2025-08-25
Business Address
JORDAN ENRIQUEZ
9311 N 56TH ST
TEMPLE TERRACE, FL 33617-5533
Phone number: 813-542-2605
Mailing Address
JORDAN ENRIQUEZ
9311 N 56TH ST
TEMPLE TERRACE, FL 33617-5533
Phone number: