Individual
ERICA LEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12040 S JOG RD STE 8, BOYNTON BEACH, FL 33437-4164
(561) 733-5084
Mailing address
9702 NW 46TH MNR, CORAL SPRINGS, FL 33076-2604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21257
FL
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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