Individual
MICHAEL LEYVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2225 W SOUTHERN AVE STE B, MESA, AZ 85202-4716
(623) 888-3502
Mailing address
4658 W KNOLLSIDE ST, TUCSON, AZ 85741-4626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-006094
AZ
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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