Individual
SUSAN LEIDLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
15979 HALL RD, SUITE 150, MACOMB, MI 48044
(586) 416-8430
Mailing address
15959 HALL RD STE 305, MACOMB, MI 48044-5367
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501010508
MI
Other
Enumeration date
05/29/2007
Last updated
03/17/2018
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