Individual
JOACHIMA ANN KING LEYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28910 PLYMOUTH RD, LIVONIA, MI 48150-2337
(723) 425-4814
Mailing address
15030 TAYLOR BLVD, LIVONIA, MI 48154-3992
(313) 445-3718
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012803
MI
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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