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Individual

JORDAN STOCKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
62 W BACON ST, HILLSDALE, MI 49242-1509
(517) 425-1550

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002341
MI

Other

Enumeration date
07/25/2014
Last updated
07/25/2014
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