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Individual

MRS. BRIDGET LUCZYK FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1843 N HAGADORN RD, EAST LANSING, MI 48823-2229
(517) 332-5061
Mailing address
406 DUNLAP ST, LANSING, MI 48910-0820
(517) 256-9361

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000825
MI
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
06/04/2007
Last updated
08/07/2026
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