Individual
MS. MEREDITH LISSA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 RIVERBANK ST, WYANDOTTE, MI 48192-2674
(734) 284-1445
Mailing address
717 RIVERBANK ST, WYANDOTTE, MI 48192-2674
(734) 284-1445
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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