Individual
STEPHANIE PAIGE LIEDERBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
22180 PONTIAC TRL STE E, SOUTH LYON, MI 48178-9097
(248) 446-0155
(248) 446-0177
Mailing address
14 N WALLACE BLVD, YPSILANTI, MI 48197-4664
(734) 474-2629
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501017192
MI
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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