Individual
MS. LEANORA THERESA PREMEAU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
416 E 4TH ST, SALIDA, CO 81201-2822
(719) 539-2431
(719) 539-3626
Mailing address
416 E 4TH ST, SALIDA, CO 81201-2822
(719) 539-2431
(719) 539-3626
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6910
CO
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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