Brocker, Jordan Robert

Brocker, Jordan Robert is an individual health care provider with primary practice located at 15410 S Mountain Pkwy #112, Phoenix AZ 85044-6691. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Brocker, Jordan Robert can be contacted via phone (480) 706-1161.

Contact Information

Primary practice address
15410 S Mountain Pkwy #112 Phoenix AZ 85044-6691
Phone: (480) 706-1161
Fax: (480) 706-7409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10308 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X

Profile Details

NPI number 1538508171
LBN Legal business name Brocker, Jordan Robert
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2013
Last updated Aug 8th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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