Individual
MRS. LISA L SEDGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA-L
Contact information
Practice address
25 CONRAN DR, COOPERSVILLE, MI 49404-1366
(616) 997-6172
(616) 965-2475
Mailing address
17615 W MOORE, PO BOX 518, GRANT, MI 49327-9408
(231) 834-0208
(616) 965-2475
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002946
MI
Other
Enumeration date
09/12/2013
Last updated
01/28/2014
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