Individual
LAWRENCE B. MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., DPT
Contact information
Practice address
1345 E MCKELLIPS RD, SUITE 101, MESA, AZ 85203-2721
(480) 827-0495
(480) 827-2534
Mailing address
1345 E MCKELLIPS RD, SUITE 101, MESA, AZ 85203-2721
(480) 827-0495
(480) 827-2534
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
8759
AZ
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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