Individual
MRS. REBECCA ANNE STIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
512 BEACH ST, FENTON, MI 48430-3122
(810) 629-4117
Mailing address
512 BEACH ST, FENTON, MI 48430-3122
(810) 629-4117
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002133
MI
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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