Provider Demographics
NPI:1902134844
Name:STROMAN, LEON FREDERICK (LMT)
Entity Type:Individual
Prefix:MR
First Name:LEON
Middle Name:FREDERICK
Last Name:STROMAN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17215 N 72ND DR
Mailing Address - Street 2:BLDG. A, SUITE 105
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8558
Mailing Address - Country:US
Mailing Address - Phone:623-810-0071
Mailing Address - Fax:623-878-1200
Practice Address - Street 1:17215 N 72ND DR
Practice Address - Street 2:BLDG. A, SUITE 105
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8558
Practice Address - Country:US
Practice Address - Phone:623-810-0071
Practice Address - Fax:623-878-1200
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-09794225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist