Individual
SAMANTHA DUNLEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEP
Contact information
Practice address
5325 ELLIOTT DR FL 2, YPSILANTI, MI 48197-8633
(734) 712-8000
Mailing address
11198 HILLCREST DR, PLYMOUTH, MI 48170-3231
(734) 516-9392
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
821048
MI
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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