Individual
LEESA D MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2500 4TH AVE S, BIRMINGHAM, AL 35233-2521
(205) 263-5800
(205) 263-5850
Mailing address
14 MONTEVALLO ROAD, BIRMINGHAM, AL 35213
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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