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Individual
SUSAN JOY LEACH
Active
Individual
SUSAN JOY LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, PHD, NCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
02179R
LA
225100000X
Physical Therapist
Primary
11527
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158HT
BCBSNC
NC
05
—
7212852
—
NC
Enumeration date
12/04/2006
Last updated
06/27/2011
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