Jorden Gary, OTRL

NPI 1952869471 · on the registry since 2019 · sole proprietor

Practice

Address: 400 North St W
Tawas City, MI 48763
Phone: (989) 362-8645
Organisation at this address: Tawas City Opco Llc
Fmg North Street West Michigan Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan