Individual
CRISNA LEANO-LAXAMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9150 E109TH AVE, SUITE 1A, CROWN POINT, IN 46307-8674
(219) 310-8584
(219) 310-8685
Mailing address
9150 E109TH AVE, SUITE 1A, CROWN POINT, IN 46307-8674
(219) 310-8584
(219) 310-8685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004718A
IN
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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