JEFFERSON WIGGINS

SOUTHFIELD, MI
NPI1689820268
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501006791)
Enumeration Date2008-08-14
Last Update Date2015-12-29
Business Address
Mr. JEFFERSON WIGGINS PT
24901 NORTHWESTERN HWY SUITE #113
SOUTHFIELD, MI 48075
Phone number: 947-282-8575
Mailing Address
Mr. JEFFERSON WIGGINS PT
PO BOX 1865
DEARBORN, MI 48121
Phone number: 313-658-0277
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