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Individual

AMY MITTELSTAEDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
141 HAMPTON CIR, ROCHESTER HILLS, MI 48307-4103
(248) 853-7555
(248) 853-7556
Mailing address
141 HAMPTON CIR, ROCHESTER HILLS, MI 48307-4103
(248) 853-7555
(248) 853-7556

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007529
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38195736
MI
Enumeration date
03/07/2008
Last updated
08/23/2016
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