Individual
LEE HER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8127
Mailing address
30035 OHMER DR, WARREN, MI 48092-3309
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005421
MI
Other
Enumeration date
03/04/2018
Last updated
03/04/2018
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