Individual
MRS. LISA MARIE LOBBESTAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
Mailing address
5363 STARBUCK DR, HOLLY, MI 48442-9003
(248) 787-1288
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004440
MI
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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