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Individual

ISABELLE N SHOUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
22180 PONTIAC TRL STE E, SOUTH LYON, MI 48178-9097
(248) 446-0155
(248) 446-0177
Mailing address
22180 PONTIAC TRL STE E, SOUTH LYON, MI 48178-9097
(248) 446-0155
(248) 446-0177

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006457
MI

Other

Enumeration date
03/26/2026
Last updated
03/26/2026
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