Individual
JENNIFER LEE LEIPZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9555 76TH ST, SUITE 2620, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8989
Mailing address
5413 33RD ST, KENOSHA, WI 53144-4160
(262) 496-7247
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
383-019
WI
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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