Individual
LISA POLZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2203 CANDLESTICK LN, MIDLAND, MI 48642-3165
(989) 430-9457
Mailing address
13429 HADDON ST, FENTON, MI 48430-1156
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004579
MI
Other
Enumeration date
07/31/2006
Last updated
10/08/2007
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