Individual
MR. FREDERICO BOBLITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-2786
Mailing address
2813 LAFAYETTE AVE, LANSING, MI 48906-2637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002141
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5502002141
—
MI
Enumeration date
12/26/2018
Last updated
12/26/2018
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