| NPI | 1255811089 |
|---|---|
| Former Name | LEANNE CLIFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11450) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018697) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-10-16 |