LISA DARLENE PONICHTER

FERNDALE, MI
NPI1558650424
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501010870)
Enumeration Date2011-03-31
Last Update Date2011-03-31
Business Address
Ms. LISA DARLENE PONICHTER MPT
455 W OAKRIDGE ST
FERNDALE, MI 48220-2702
Phone number: 248-321-0358
Mailing Address
Ms. LISA DARLENE PONICHTER MPT
455 W OAKRIDGE ST
FERNDALE, MI 48220-2702
Phone number: 248-321-0358
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