Individual
ELIZABETH ANNE BANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3699 S BALDWIN RD., LAKE ORION, MI 48359
(248) 997-5990
(248) 233-0907
Mailing address
PO BOX 412031, BOSTON, MA 02241-2031
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303193
MI
Other
Enumeration date
04/17/2024
Last updated
12/05/2024
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