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1437170529
LISA M PRUSAKIEWICZ
TROY, MI
NPI
1437170529
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Former Name
LISA M EDL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501012731)
Enumeration Date
2006-07-22
Last Update Date
2020-01-20
Business Address
LISA M PRUSAKIEWICZ RPT
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number: 248-964-5000
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Mailing Address
LISA M PRUSAKIEWICZ RPT
5852 KIDDER RD
ALMONT, MI 48003-9608
Phone number: 614-519-9061
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