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Individual

MRS. LEAH LAUBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
480 S WILLARD ST, COTTONWOOD, AZ 86326-4128
(928) 649-9726
(928) 634-2079
Mailing address
480 S WILLARD ST, COTTONWOOD, AZ 86326-4128
(928) 649-9726
(928) 634-2079

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9887
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9887
STATE PT LICENSE NUMBER
AZ
Enumeration date
07/19/2012
Last updated
07/19/2012
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