Jordan Fred

NPI #1942613534 in Golden, Colorado

Provider Information

NPI Number: 1942613534
Entity Type: Individual
Name: Jordan Fred
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jun 11, 2014
Last Updated: Jun 11, 2014

Practice Location

Address: 251 VIOLET ST STE 150
City: Golden
State: Colorado
ZIP Code: 80401-6724
Phone: (303) 279-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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