Individual
JORDAN CLEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021640
IL
Other
Enumeration date
02/22/2017
Last updated
05/26/2021
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