Individual
WHITNEY LEIPZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
126 NE FARGO ST, PORTLAND, OR 97212-2021
(503) 970-4025
Mailing address
126 NE FARGO ST, PORTLAND, OR 97212-2021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6286
OR
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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