Doctor Name: | LEAH STEFANOU |
NPI Number: | 1952733735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5501016379 |
Business Practice Address: | 33089 Groesbeck Hwy Fraser, MI - 480261501 |
Business Phone Number: | 5862962800 |
Business Fax Number: | |
Mailing Address: | 2582 Black Pine Trail Dr, TROY |
State: | MI |
Postal Code: | 480984102 |
Phone Number: | 2487094596 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2013 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501016379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |