Basic Information
| Provider Information | |||||||||
| NPI: | 1558081315 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | FINGER | ||||||||
| FirstName: | JORDAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 BUNN DR APT D404 | ||||||||
| Address2: | |||||||||
| City: | PRINCETON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 085402888 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6099479659 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3350 W SOUTHPORT RD | ||||||||
| Address2: | |||||||||
| City: | KISSIMMEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 347462706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4078460152 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2022 | ||||||||
| LastUpdateDate: | 08/31/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.