Individual provider · Type 1 NPI

Deandre Jordan

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1790107134 Active

Practice location

3690 N Rancho Dr, 3692 N. Rancho Dr.
Las Vegas, NV 89130-3182

Call (702) 749-6263 Map

Mailing address

4965 Athens Bay Pl
North Las Vegas, NV 89031-0971

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1790107134

Deandre Jordan's National Provider Identifier is 1790107134, issued on Jan 18, 2014. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 18, 2014.