| Doctor Name: | MRS. MARIA CLEMENCIA DE LEON |
| NPI Number: | 1609052448 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T |
| License Number: | PT3989 |
| Business Practice Address: | 16612 Nw 71st Ct Suite 205 Miami Lakes, FL - 330147105 |
| Business Phone Number: | 9545408907 |
| Business Fax Number: | 7865022555 |
| Mailing Address: | 16612 Nw 71st Ct, MIAMI LAKES |
| State: | FL |
| Postal Code: | 330147105 |
| Phone Number: | 9545408907 |
| Fax Number: | 3056988930 |
| NPI Enumeration Date: | 01/10/2008 |
| NPI Last Update Date: | 05/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT3989 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |