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1720550072
TERESA LYNNE GOEDTEL
WARREN, MI
NPI
1720550072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502001978)
Enumeration Date
2018-12-27
Last Update Date
2018-12-27
Business Address
TERESA LYNNE GOEDTEL LPTA
27733 SCHOENHERR RD
WARREN, MI 48088-6641
Phone number: 586-427-6640
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Mailing Address
TERESA LYNNE GOEDTEL LPTA
198 S MAIN ST
MOUNT CLEMENS, MI 48043-7917
Phone number: 586-477-1402
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