| Doctor Name: | JOAN JORDAN |
| NPI Number: | 1376924811 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 11606 |
| Business Practice Address: | 8240 W Cactus Rd Peoria, AZ - 853815231 |
| Business Phone Number: | 6238789696 |
| Business Fax Number: | 6237760668 |
| Mailing Address: | 8240 W. Cactus Rd, PEORIA |
| State: | AZ |
| Postal Code: | 85381 |
| Phone Number: | 4805449496 |
| Fax Number: | 6237760668 |
| NPI Enumeration Date: | 06/10/2015 |
| NPI Last Update Date: | 04/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 11606 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |