Individual
HANNA S HIESTAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21048 SUFFOLK ST, CLINTON TOWNSHIP, MI 48035-5212
(616) 498-8711
Mailing address
21048 SUFFOLK ST, CLINTON TOWNSHIP, MI 48035-5212
(616) 498-8711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008387
MI
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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