Individual
JOURDAN MANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21700 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-4906
(855) 445-4554
Mailing address
21700 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-4906
(855) 445-4554
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008096
MI
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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