Organization
SALEM SPORTS & SPINE PHYSICAL THEARPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE LYNN LEASURE P.T., OCS (OWNER)
(914) 669-9085
Entity
Organization
Contact information
Practice address
56 JUNE ROAD, NORTH SALEM, NY 10560-0662
(914) 669-9085
(914) 669-9095
Mailing address
PO BOX 662, NORTH SALEM, NY 10560-0662
(914) 669-9085
(914) 669-9095
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
018914-1
NY
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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