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Individual

LEESA D MILES

Active
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Individual

LEESA D MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18552
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-34815
PHYSICAL THERAPY PROVIDER
AL
01
515-34900
PHYSICAL THERAPY PROVIDER
AL
Enumeration date
05/31/2007
Last updated
07/08/2007
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