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Individual
WAYNE ERIC LEISING
Active
Individual
WAYNE ERIC LEISING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT008406
GA
225100000X
Physical Therapist
Primary
PTH4595
AL
Other
Enumeration date
05/12/2006
Last updated
07/21/2022
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