Individual
CLIFFORD MATTHEW LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6045 ALMA DR, STE 320, MCKINNEY, TX 75070
(972) 569-9050
(972) 569-9076
Mailing address
6045 ALMA RD, STE 320, MCKINNEY, TX 75070-2188
(972) 569-9050
(972) 569-9076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1172280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207749701
—
TX
01
—
824T43
BCBS
TX
01
—
8T7285
BCBS
TX
Enumeration date
06/19/2007
Last updated
05/25/2010
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