Individual
HENDRIKA LIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27622 5 MILE RD, LIVONIA, MI 48154-3946
(734) 452-2144
(734) 452-2144
Mailing address
27622 5 MILE RD, LIVONIA, MI 48154-3946
(734) 272-8698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501003124
MI
2251N0400X
Neurology Physical Therapist
Primary
5501003124
MI
Other
Enumeration date
10/01/2014
Last updated
09/19/2015
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