Individual
LAURA J LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14435 N 7TH ST STE 300, PHOENIX, AZ 85022-4371
(602) 547-6996
Mailing address
9664 E ESCONDIDO AVE, MESA, AZ 85208-3138
(602) 740-3203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8137A
AZ
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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