Laurie Grace Stickler P.T.

NPI 1780681882 - Physical Therapist - 225100000X

NPI Details
NPI 1780681882
Gender Female
Enumeration Date 07/05/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4565 WILSON AVE SW
STE 5A
GRANDVILLE MI, 49418-2371, US
Phone (616) 975-9078
Fax (616) 975-9248
Business Location
6844 BRIDLE CREEK CT
HUDSONVILLE MI, 49426-9389, US
Phone (616) 975-9078
Fax (616) 975-9248
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501010775
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According to our database, Mrs. Laurie Grace Stickler P.T. NPI is 1780681882, taxonomy code is 225100000X and license number is 5501010775, license state is located at Michigan. Laurie Grace Stickler P.T. physically located at 4565 Wilson Ave Sw, Grandville MI, 49418-2371. NPI Number Laurie Grace Stickler P.T. has the Individual type.

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1780681882 NPI number is provided on an as is basis without warranty of any kind. 1780681882 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie Grace Stickler P.T. are for informational purposes only.