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1023152295
LISA STEPHENS
DETROIT, MI
NPI
1023152295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501005453)
Enumeration Date
2007-02-19
Last Update Date
2021-03-26
Business Address
Ms. LISA STEPHENS PT
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
Ms. LISA STEPHENS PT
2802 22ND ST
WYANDOTTE, MI 48192-4843
Phone number: 734-771-1279
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