Individual
ELIZABETH SCHOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 44TH ST SW, WYOMING, MI 49509-4481
(616) 530-1977
(616) 530-2140
Mailing address
PO BOX 30516, DEPT 5300, LANSING, MI 48909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501020204
STATE LICENSE
MI
Enumeration date
08/25/2021
Last updated
08/25/2021
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