Provider Demographics
NPI:1275785263
Name:SCHLENDER, LIZA GRACE ESGRA (PT)
Entity Type:Individual
Prefix:MS
First Name:LIZA GRACE
Middle Name:ESGRA
Last Name:SCHLENDER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42540 MERIDIAN DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-2980
Mailing Address - Country:US
Mailing Address - Phone:412-628-2802
Mailing Address - Fax:
Practice Address - Street 1:42450 HAYES RD # 100
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-6769
Practice Address - Country:US
Practice Address - Phone:412-323-0420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501014712225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist