Individual
LEAH R MCQUONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
851 PENNIMAN AVE, PLYMOUTH, MI 48170-1621
(248) 349-9595
Mailing address
918 S TRAIL LN, SAINT JOSEPH, MI 49085-3221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
120382
TX
225X00000X
Occupational Therapist
Primary
5201010829
MI
Other
Enumeration date
11/06/2019
Last updated
12/14/2020
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