Most Relevant Information
Provider Data
| NPI Number: | 1003578063 |
| Provider Name: | JORDAN AGTARAP |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/07/2021 |
| Last Updated: | 10/07/2021 |
Provider Practice Location
5765 LITTLEROCK RD SW STE 107
TUMWATER
WA
985127311
Practice Location Phone/Fax
| Phone: | 5649994146 |
| Fax: |
Provider Mailing Location
1200 CORPORATE DR STE 400
HOOVER
AL
352425424
Provider Mailing Phone/Fax
| Phone: | 4236828840 |
| Fax: |