Individual
DR. ANNALISA ELAINE DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
416 S CREYTS RD STE B, LANSING, MI 48917-8290
(517) 327-0966
Mailing address
416 S CREYTS RD, STE B, LANSING, MI 48917-8290
(517) 327-0966
(517) 327-0986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019727
MI
Other
Enumeration date
09/21/2020
Last updated
09/30/2020
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