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1417685801
STEPHANIE PENNER
SAINT CLAIR SHORES, MI
NPI
1417685801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5502008121)
Enumeration Date
2022-08-12
Last Update Date
2022-08-12
Business Address
STEPHANIE PENNER PTA
25311 LITTLE MACK AVE STE A
SAINT CLAIR SHORES, MI 48081-3301
Phone number: 586-771-4900
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Mailing Address
STEPHANIE PENNER PTA
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
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