Individual
DR. MARISA JEAN LEYKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1055 ADAMS CIR, BOULDER, CO 80303-1820
(303) 939-0591
(303) 939-0883
Mailing address
1055 ADAMS CIR, BOULDER, CO 80303-1820
(303) 939-0591
(303) 939-0883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7844
CO
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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