Corrine Jordan

NPI #1215003124 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1215003124
Entity Type: Individual
Name: Corrine Jordan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 517 E DIVISION ST
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-3735
Phone: (920) 921-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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