Jennifer A Leach, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Peoria, IL

NPI

1780913509

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

160002608 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2009-12-08

Last updated

2009-12-08