Organization
RESILIENT PHYSICAL THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN BEVINS PT, DPT (MANAGER)
(937) 670-6922
Entity
Organization
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
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT018971
PT/OT/AT BOARD
OH
Enumeration date
10/24/2022
Last updated
10/24/2022
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