Individual
MRS. SHARON LEAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
19883 OLD SCENIC HWY, ZACHARY, LA 70791-7367
(601) 300-9023
Mailing address
3193 POSSUM CORNER RD, CROSBY, MS 39633-3846
(601) 300-9023
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
LA7987
LA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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