Individual
LEANNE M UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2940 E BANNER GATEWAY DR, SUITE 200, GILBERT, AZ 85234-2168
(480) 964-2908
(480) 833-2136
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(480) 964-2908
(480) 833-2136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9551
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
654044
—
AZ
01
—
P01001425
RAILROAD MEDICARE
AZ
Enumeration date
10/03/2011
Last updated
07/05/2013
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