Lisa Marie Petzold-Young
Lisa Marie Petzold-Young is a Physical Therapy Assistant in Grand Blanc, Michigan. Licensed in Michigan. Registered with an NPI since 2023.
- Licensed in
- MI
- In the registry since
- 2023
Practice location Address checks out
10211 Halsey RdGrand Blanc, MI 48439-8209
Phone: (810) 422-4960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 5002205694 (MI) |
|---|
Record details
| NPI number | 1063298099 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 6, 2023 |
| Last updated in NPPES | September 7, 2023 |
| Certification date | September 7, 2023 |
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