Individual
LISA ZALESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12070 WESTERN ST, LA SALLE, MI 48145-9550
(419) 260-3043
Mailing address
12070 WESTERN ST, LA SALLE, MI 48145-9550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 05886
OH
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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