Individual
STEPHANIE WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 HAGGERTY RD STE 2020, WEST BLOOMFIELD, MI 48323-2189
(248) 313-5940
(248) 313-5941
Mailing address
33900 HARPER AVE STE 104, CLINTON TOWNSHIP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006464
MI
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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