JORDAN HENNING

PORTAGE, MI
NPI1407404957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501019285)
Enumeration Date2019-08-28
Last Update Date2019-08-28
Business Address
JORDAN HENNING
1423 W CENTRE AVE
PORTAGE, MI 49024-5323
Phone number: 269-323-4300
Mailing Address
JORDAN HENNING
1423 W CENTRE AVE
PORTAGE, MI 49024-5323
Phone number: 269-323-4300
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