| NPI | 1811913361 |
|---|---|
| Former Name | LEISHA M YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501015194) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 59083352401) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2021-05-05 |