Individual
JORDAN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16760 LINCOLN ST, GRAND HAVEN, MI 49417-8864
(616) 901-1397
Mailing address
6780 LOGGERS RIDGE RUN, CALEDONIA, MI 49316-7209
(616) 901-1397
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
04/16/2025
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