Individual
MR. JURGEN B JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MDT CERT, CLT
Contact information
Practice address
14555 LEVAN RD, SUITE 215B, LIVONIA, MI 48154-5083
(734) 542-9770
Mailing address
1209 SHERMAN ST, YPSILANTI, MI 48197-4630
(734) 487-8114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004261
MI
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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