Individual
LISA HEPNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2609 CHARLEVOIX AVE, PETOSKEY, MI 49770-8524
(231) 439-3750
Mailing address
2609 CHARLEVOIX AVE, PETOSKEY, MI 49770-8524
(231) 439-3750
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004155
MI
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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