STACY DEWALD

TAYLOR, MI
NPI1669899076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501016697)
Enumeration Date2014-03-24
Last Update Date2015-07-06
Business Address
-- STACY DEWALD
21751 ECORSE RD
TAYLOR, MI 48180-1846
Phone number: 313-359-8001
Mailing Address
-- STACY DEWALD
33900 HARPER AVE SUITE 104
CLINTON TOWNSHIP, MI 48035
Phone number: 586-416-9100