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Individual

LEAH YACOUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21096 STRAWBERRY HILLS DR, MACOMB, MI 48044-2274
(586) 421-2205
Mailing address
21096 STRAWBERRY HILLS DR, MACOMB, MI 48044-2274
(586) 421-2205

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003135
MI

Other

Enumeration date
08/18/2014
Last updated
08/18/2014
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