Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 5502003723 | MI |
NPI | 1013514355 |
---|---|
Provider Name | Jennifer Leigh Hoyer |
First Address | Lansing, MI 48912-3707 |
Second Address | Lansing, MI 48912-3707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2020 |
Last Update Date | 08/10/2020 |