Individual
LEIGHTON MICHAEL PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7767 ELM CREEK BLVD N STE 160, MAPLE GROVE, MN 55369-7078
(763) 201-8191
Mailing address
7767 ELM CREEK BLVD N STE 160, MAPLE GROVE, MN 55369-7078
(763) 201-8191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2692
MN
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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