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Individual
LEAH MARIE HAVILL
Active
Individual
LEAH MARIE HAVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0276251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000628315001
BCBS
NY
05
—
02730418
—
NY
01
—
9313234
IHA INDEPENDENT HEALTH
NY
Enumeration date
11/17/2006
Last updated
07/08/2007
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