Individual
MR. DAVID L THIBODEAU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
773 EAST STREET, LAPEER, MI 48446
(810) 664-3000
(810) 664-9775
Mailing address
773 EAST STREET, LAPEER, MI 48446
(810) 664-3000
(810) 664-9775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003479
MI
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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