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NPI 1891092904

NPI 1891092904 : STEPHANIE DANIELLE SPRINGER D.P.T. : FERNDALE, MI

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General NPI Number Information
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    NPI Number           |    1891092904
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE DANIELLE SPRINGER D.P.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/25/2011
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    Last Update Date     |    03/28/2025
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Provider Practice Location Address
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    Address Line         |    928 E 10 MILE RD STE 100 
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    City                 |    FERNDALE
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    State                |    MI
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    Zip                  |    48220-1043
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    Country              |    US
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    Telephone            |    248-621-5650
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    Fax                  |    248-621-5651
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Provider Business Mailing Address
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    Address Line         |    33900 HARPER AVE SUITE 104
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    City                 |    CLINTON TOWNSHIP
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    State                |    MI
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    Zip                  |    48035-4258
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    Country              |    US
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    Telephone            |    586-350-2644
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    Fax                  |    586-541-3735
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    5501015503
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    License Number State |    MI
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