Michael J Tisdall, P.T.A.

NPI #1730326604 in Clinton Twp, Michigan

Provider Information

NPI Number: 1730326604
Entity Type: Individual
Name: Michael J Tisdall, P.T.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A.
Enumeration Date: Jan 14, 2009
Last Updated: Jan 14, 2009

Practice Location

Address: 35746 HARPER AVE
City: Clinton Twp
State: Michigan
ZIP Code: 48035-3212
Phone: (586) 791-9203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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