Basic Information
| Provider Information | |||||||||
| NPI: | 1871745828 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LEAPS AND BOUNDS THERAPY SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11930 WHITMORE LAKE RD | ||||||||
| Address2: | SUITE I-M | ||||||||
| City: | WHITMORE LAKE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481899153 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7344494649 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11930 WHITMORE LAKE RD | ||||||||
| Address2: | SUITE I-M | ||||||||
| City: | WHITMORE LAKE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481899153 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7344494649 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2008 | ||||||||
| LastUpdateDate: | 10/21/2008 | ||||||||
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| AuthorizedOfficialLastName: | HAMMOND | ||||||||
| AuthorizedOfficialFirstName: | ALISON | ||||||||
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| AuthorizedOfficialTitleorPosition: | PHYSICAL THERAPIST/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7344494649 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | MPT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 252Y00000X | MI | Y | Agencies | Early Intervention Provider Agency |
No ID Information.