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Individual

VICKI LYNN IOTT-SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
700 LAKESHIRE TRL, ADRIAN, MI 49221-1565
(517) 263-0781
Mailing address
10800 BACON RD, PETERSBURG, MI 49270-9566

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38-2879330
MI
Enumeration date
02/20/2018
Last updated
02/20/2018
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