Individual
LYNDA CHRISTINE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
24922 FREDERICK ST, SAINT CLAIR SHORES, MI 48080-1217
(586) 913-3101
Mailing address
24922 FREDERICK ST, SAINT CLAIR SHORES, MI 48080-1217
(586) 913-3101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE007301
PA
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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