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1568971448
TYLER LUCHTEFELD
DEARBORN, MI
NPI
1568971448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501018448)
Enumeration Date
2017-09-24
Last Update Date
2021-03-19
Business Address
TYLER LUCHTEFELD PT
5500 AUTO CLUB DR STE 150
DEARBORN, MI 48126-2779
Phone number: 313-982-8266
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Mailing Address
TYLER LUCHTEFELD PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 810-632-1000
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