Individual
MRS. BRIDGET LUCZYK FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3370 E JOLLY RD STE B, LANSING, MI 48910-8552
(517) 272-5133
Mailing address
3370 E JOLLY RD STE B, LANSING, MI 48910-8552
(517) 272-5133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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