JORDAN C ALTEKRUSE

ACTIVE LIFE AND SPORTS THERAPY LLC

Dr JORDAN C ALTEKRUSE is a male medical professional, specializing in Physical Therapy. He graduated in 2009.

Contact

ACTIVE LIFE AND SPORTS THERAPY LLC

4337 EBENEZER RD
NOTTINGHAM
MD
212362143

Tel: 4105293303

JORDAN C ALTEKRUSE Information

Npi 1619105038
Pac Id 6305998840
Professional Enrollment Id I20090715000162
Last Name ALTEKRUSE
First Name JORDAN
Middle Name C
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ACTIVE LIFE AND SPORTS THERAPY LLC
Group Practice Pac Id 5193711927
Number Of Group Practice Members 10
Line 1 Street Address 4337 EBENEZER RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NOTTINGHAM
State MD
Zip Code 212362143
Phone Number 4105293303
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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