JORDAN SCOTT ANDERSON

POCATELLO, ID
NPI1932510690
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  3526)
Enumeration Date2014-05-15
Last Update Date2017-09-12
Business Address
Mr. JORDAN SCOTT ANDERSON DPT
2240 E CENTER ST
POCATELLO, ID 83201-2600
Phone number: 208-678-1191
Mailing Address
Mr. JORDAN SCOTT ANDERSON DPT
2240 E CENTER ST
POCATELLO, ID 83201-2600
Phone number: 208-678-1191
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