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1720311962
KELLY RIESTERER GROTH
ROYAL OAK, MI
NPI
1720311962
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Former Name
KELLY LYNN RIESTERER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501014636)
Enumeration Date
2009-09-04
Last Update Date
2024-09-17
Business Address
KELLY RIESTERER GROTH
32934 WOODWARD AVE
ROYAL OAK, MI 48073-0957
Phone number: 248-554-9201
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Mailing Address
KELLY RIESTERER GROTH
33900 HARPER AVE SUITE 104
CLINTON TOWNSHIP, MI 48035-4258
Phone number: 586-416-9100
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