Individual
JAIMEE LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-9012
Mailing address
19067 STONEWOOD RD, RIVERVIEW, MI 48193-7817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012482
MI
Other
Enumeration date
10/17/2018
Last updated
03/12/2021
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