Jordan Defever

NPI #1538699509 in Wayland, Michigan

Provider Information

NPI Number: 1538699509
Entity Type: Individual
Name: Jordan Defever
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 13, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 893 E SUPERIOR ST
City: Wayland
State: Michigan
ZIP Code: 49348-9178
Phone: (616) 252-3433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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