Individual
JORDYN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5136 CASCADE RD SE STE 1C, GRAND RAPIDS, MI 49546-3728
(616) 301-1215
Mailing address
PO BOX 30516, DEPT 5300, LANSING, MI 48909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303444
MI
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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