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1417610437
KELLIE ANN LEAVITT
PHOENIX, AZ
NPI
1417610437
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Former Name
LEAVITT ANN SPRAGUE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA-014015)
Enumeration Date
2021-10-17
Last Update Date
2021-10-17
Business Address
KELLIE ANN LEAVITT PTA
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050-5244
Phone number: 877-222-5348
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Mailing Address
KELLIE ANN LEAVITT PTA
4930 W TONTO RD
GLENDALE, AZ 85308-9222
Phone number: 208-241-1804
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