Individual
JORDAN MICHAEL VINCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.R.L.
Contact information
Practice address
3707 KATALIN CT, BAY CITY, MI 48706-2161
(989) 671-0866
Mailing address
2168 5TH ST, BAY CITY, MI 48708-6344
(989) 860-2534
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5201009740
MI
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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