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Individual
LISA MARIE METZGER
Active
Individual
LISA MARIE METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303460
MI
2255A2300X
Athletic Trainer
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501303460
LICENSE
MI
Enumeration date
05/12/2020
Last updated
03/13/2025
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