Individual
ELISABETH ANNA LEYENDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(214) 738-0750
Mailing address
7710 EL SANTO LN, DALLAS, TX 75248-4316
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1209686
TX
Other
Enumeration date
12/22/2017
Last updated
12/22/2017
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