Jordan, Freda Mae Diasanta

Jordan, Freda Mae Diasanta is an individual health care provider with primary practice located at 1900 10Th St , Silvis IL 61282-1909. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jordan, Freda Mae Diasanta can be contacted via phone (309) 278-1537.

Contact Information

Primary practice address
1900 10Th St Silvis IL 61282-1909
Phone: (309) 278-1537
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 032857 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070018721 Illinois

Profile Details

NPI number 1053696476
LBN Legal business name Jordan, Freda Mae Diasanta
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2011
Last updated Dec 5th, 2014 - about 11 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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