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Individual
MRS. LEIGH ANN DUFRESNE
Active
Individual
MRS. LEIGH ANN DUFRESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018067
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396329
AETNA HMO PIN
PA
01
—
1894428
BC/BS PIN
PA
01
—
2761542000
PERSONAL CHOICE PIN
PA
01
—
7899888
AETNA PPO PIN
PA
Enumeration date
09/13/2006
Last updated
08/23/2022
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