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Contact Information

ANTHONY E JORDAN, PTA
52115 PROSECCO WAY
COACHELLA, CA92236-8511
 Phone: 760-777-2140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ANTHONY E JORDAN · (Male)

NPI Number 1215634159
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 02/10/2023
Last updated 02/10/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 3854
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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