Individual
DANIEL LEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
10101 S 27TH ST, FRANKLIN, WI 53132-7209
(414) 325-4952
Mailing address
10101 S 27TH ST, FRANKLIN, WI 53132-7209
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
14390-24
WI
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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