Individual
JARED THOMAS KURDUNOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-4820
(313) 745-1100
Mailing address
261 MACK AVE, DETROIT, MI 48201-3132
(313) 745-1100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019454
MI
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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