Individual
JORDAN MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1513 N MCEWAN ST # NA, CLARE, MI 48617-1162
(989) 424-6088
Mailing address
3660 RESORT PIKE RD, PETOSKEY, MI 49770-9228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018195
MI
Other
Enumeration date
05/17/2018
Last updated
12/26/2019
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