Individual
JORDAN M BEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
711 W WENGER RD APT 205, ENGLEWOOD, OH 45322-1920
(937) 670-6922
Mailing address
711 W WENGER RD APT 205, ENGLEWOOD, OH 45322-1920
(937) 670-6922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018971
OH
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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