Individual
STACY LYNN ZOUSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4266 STRATHDALE LN, WEST BLOOMFIELD, MI 48323-3143
(248) 770-3472
Mailing address
4266 STRATHDALE LN, WEST BLOOMFIELD, MI 48323-3143
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501010115
MI
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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