Individual
MRS. ALISA A SOMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
950 S BAILEY AVE, SOUTH HAVEN, MI 49090-8744
(269) 639-2929
Mailing address
950 S BAILEY AVE, SOUTH HAVEN, MI 49090-8744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017443
MI
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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