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Individual

ASHLEY ELIZABETH LEACOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1700 12TH ST, HOOD RIVER, OR 97031-9004
(541) 716-1316
Mailing address
1036 MULTNOMAH RD, HOOD RIVER, OR 97031-8703
(425) 647-3555

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63942
OR

Other

Enumeration date
12/23/2020
Last updated
01/05/2022
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