Individual
MS. AMY M LECLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T., A.T., C.
Contact information
Practice address
5060 CASCADE RD SE, SUITE A, GRAND RAPIDS, MI 49546-3808
(616) 954-0950
(616) 954-1728
Mailing address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012959
MI
Other
Enumeration date
12/05/2006
Last updated
08/08/2019
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