Individual
JORDAN M WIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
437 EAST ST, PITTSFORD, NY 14534-3671
(585) 729-6010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010365
MI
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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