Provider Demographics
NPI:1457940009
Name:TOMEI, JORDAN CHRISTINE (PT)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:CHRISTINE
Last Name:TOMEI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 ANN ARBOR RD W STE 100
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-2251
Mailing Address - Country:US
Mailing Address - Phone:734-335-3390
Mailing Address - Fax:734-335-3395
Practice Address - Street 1:215 ANN ARBOR RD W STE 100
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-2251
Practice Address - Country:US
Practice Address - Phone:734-335-3390
Practice Address - Fax:734-335-3395
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501019928225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist