Individual
JENNIFER LYNN LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2251 N SQUIRREL RD STE 320, AUBURN HILLS, MI 48326-4608
(248) 656-6757
Mailing address
116 LAKESHORE DR, CLARKSTON, MI 48348-1480
(248) 561-4254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007170
MI
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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