Most Relevant Information
Provider Data
| NPI Number: | 1003455882 |
| Provider Name: | JENA JARVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/27/2019 |
| Last Updated: | 12/27/2019 |
Provider Practice Location
29100 GATEWAY BLVD STE 400
FLAT ROCK
MI
481342764
Practice Location Phone/Fax
| Phone: | 7343797900 |
| Fax: |
Provider Mailing Location
29100 GATEWAY BLVD STE 400
FLAT ROCK
MI
481342764
Provider Mailing Phone/Fax
| Phone: | 7343797900 |
| Fax: |