Individual
ELIZABETH ANN DENRYTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
23800 W 10 MILE RD, SUITE 193, SOUTHFIELD, MI 48033-3176
(248) 827-1100
Mailing address
23800 W 10 MILE RD, SUITE 193, SOUTHFIELD, MI 48033-3176
(248) 827-1100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015329
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501015329
LICENSE
MI
Enumeration date
10/04/2010
Last updated
10/04/2010
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