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Individual
LEISHA M BERRY
Active
Individual
LEISHA M BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015194
MI
225100000X
Physical Therapist
59083352401
UT
Other
Enumeration date
07/15/2006
Last updated
05/05/2021
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