| NPI | 1730260407 |
|---|---|
| Former Legal Business Name | JORDAN LASALLE PHYSICAL THERAPY CENTER INC |
| Entity Type | Organization |
| Authorized Contact | DANNY JORDAN Owner 760-568-2894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-04-20 |