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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTHONY EUGENE JORDAN, PTA

Active Sole Proprietor

Hand Therapy · COACHELLA, CA

Registration Details

NPI Number
1215634159
Provider Type
Individual
Gender
Male
NPI Issued
Feb 10, 2023 (3.1953220097311 yrs)
Last Updated
Feb 10, 2023
License
3854 (CA)
Sole Proprietor
Yes

Practice Information

Address
52115 PROSECCO WAY
COACHELLA, CA, 922368511
Browse CA providers · Browse ZIP 92236
Phone
7607772140
Primary Specialty
Hand Therapy
2251G0304X
Additional Specialty
Hand Therapy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.