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JORDAN CLAYBORNE PT

Sports >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1962952333

Individual Registrant:
 JORDAN  CLAYBORNE PT
Gender: M
Sole Proprietor

Location and contact information for practice:
4747 N OCEAN DR STE 261  LAUDERDALE BY THE SEA, FL 33308-2956 US
Tel: 310-405-1945  Fax: --

Contact information for business:
4747 N OCEAN DR STE 261  LAUDERDALE BY THE SEA, FL 33308-2956 US
Tel: 310-405-1945  Fax: --

Registration Information:
NPI: 1962952333
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Sports
FLPT 31487

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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