Individual
DR. CAROL J LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT PHD
Contact information
Practice address
920 BARLOW RD, FORT MORGAN, CO 80701-4371
(970) 542-3225
(970) 542-3115
Mailing address
2010 46TH AVE UNIT 49, GREELEY, CO 80634-3258
(970) 397-6353
(970) 542-3115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
548
CO
Other
Enumeration date
05/15/2007
Last updated
05/20/2010
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