Individual
MISS JORDAN MARIE PASSAFIUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5001 ROCKSIDE RD, INDEPENDENCE, OH 44131-2172
(216) 986-4000
Mailing address
1480 LAUDERDALE AVE LOWR LEVEL, LAKEWOOD, OH 44107-3630
(216) 403-9440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020249
OH
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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