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Individual

JORDAN SCOTT OLLENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, PT

Contact information

Practice address
4600 INVESTMENT DR STE 190, TROY, MI 48098-6365
(248) 353-1234
Mailing address
29255 NORTHWESTERN HWY STE 300, SOUTHFIELD, MI 48034-5742
(248) 353-1234

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/08/2018
Last updated
08/08/2018
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