Individual
MAGGIE LYNN LEAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4614 84TH STREET, URBANDALE, IA 50322
(515) 270-6838
Mailing address
3613 GRAYHAWK AVENUE UNIT 201, AMES, IA 50010
(641) 220-0163
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004900
IA
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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