Individual
DEBRA P LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-3098
(423) 787-6954
Mailing address
623 CHARLIE HICKS RD, JONESBOROUGH, TN 37659-6661
(423) 928-0906
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000002848
TN
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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