Individual
ELIZABETH ANN FEIRTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8950 MACOMB ST, GROSSE ILE, MI 48138-1577
(734) 307-7037
Mailing address
20218 MERIDIAN RD, GROSSE ILE, MI 48138-1226
(734) 741-3892
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003921
MI
Other
Enumeration date
03/21/2017
Last updated
03/25/2021
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