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1619191756
LISA ANN OTTERBEIN
COOPERSVILLE, MI
NPI
1619191756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501012378)
Enumeration Date
2007-04-12
Last Update Date
2019-08-15
Business Address
LISA ANN OTTERBEIN MSPT
25 CONRAN DR
COOPERSVILLE, MI 49404-1366
Phone number: 616-997-6172
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Mailing Address
LISA ANN OTTERBEIN MSPT
1377 MOTOR PKWY STE 307
ISLANDIA, NY 11749-5258
Phone number: 631-580-5200
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