JONATHAN JORDAN

SACRAMENTO, CA
NPI1760915094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  PTA48399)
Enumeration Date2017-04-04
Last Update Date2017-04-04
Business Address
-- JONATHAN JORDAN
501 JESSIE AVE
SACRAMENTO, CA 95838-2608
Phone number: 916-648-0143
Mailing Address
-- JONATHAN JORDAN
501 JESSIE AVE
SACRAMENTO, CA 95838-2608
Phone number: 916-648-0143
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