Organization
LEAPS AND BOUNDS PEDIATRICTHERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE HAIGOOD PT (OWNER)
(256) 235-2524
Entity
Organization
Contact information
Practice address
1703 LEIGHTON AVE, ANNISTON, AL 36207-3832
(256) 235-2524
Mailing address
1703 LEIGHTON AVE, ANNISTON, AL 36207-3832
(256) 235-2524
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-46493
BCBS
AL
05
—
890023650
—
AL
Enumeration date
01/14/2020
Last updated
01/14/2020
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