Individual
MS. HEIDI LYNN CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
729 W ANN ARBOR TRL, SUITE 200, PLYMOUTH, MI 48170-1631
(734) 414-7056
Mailing address
23746 ASHLEY DR, BROWNSTOWN, MI 48134-9097
(313) 590-4652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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