Individual
ANN MARIE LEUPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S 9TH AVE, YAKIMA, WA 98902-3315
(509) 575-5000
Mailing address
624 N GLADEVIEW DR, FARMINGTON, NM 87401-6070
(505) 320-1429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010096
WA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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