Shelley Ann Defouw, LPT

NPI #1558852293 in Douglas, Michigan

Provider Information

NPI Number: 1558852293
Entity Type: Individual
Name: Shelley Ann Defouw, LPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: LPT
Enumeration Date: May 29, 2018
Last Updated: May 29, 2018

Practice Location

Address: 243 WILEY RD
City: Douglas
State: Michigan
ZIP Code: 49406-5108
Phone: (269) 857-2141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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