Individual
MS. JODI LYNN TERVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1750
Mailing address
1044 SUMMIT ST, HANCOCK, MI 49930-1533
(253) 278-7864
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1365-019
WI
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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