LISA DECONINCK

TROY, MI
NPI1275681793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501008619)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
-- LISA DECONINCK MPT
1845 LIVERNOIS
TROY, MI 48083
Phone number: 248-362-2150
Mailing Address
-- LISA DECONINCK MPT
1980 HILLWOOD CT
BLOOMFIELD HILLS, MI 48304
Phone number: 248-646-1916
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