Individual
JORDAN LEIGH WOLSCHLAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTRL
Contact information
Practice address
6296 VILLAGE SQUARE DRIVE, SUITE #2, BRIDGEPORT, MI 48722
(989) 401-1239
Mailing address
5039 VILLA LINDE PKWY STE 30, FLINT, MI 48532-3450
(989) 401-2244
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201011230
MI
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
09/13/2021
Last updated
05/07/2024
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