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Leslie Ubom, PT, DPT

Physical Therapist in Troy, MI. Individual provider (NPI-1).

NPI number1730614751
StatusActive
Last updated in NPPESApr 27, 2017

Details

NPI
1730614751
Entity type
Individual (NPI-1)
Name
Leslie Ubom
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Apr 27, 2017
Last updated
Apr 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5501015315MIYes

Practice location

1710 Boulan Dr
Troy, MI 48084-1538

Phone 202-420-1590

Mailing address

2356 Hiller Rd
West Bloomfield, MI 48324-1424

Phone 202-420-1590

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