Individual
MARCUS A LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2601 FOREST DR, COLUMBIA, SC 29204-2363
(803) 256-4983
Mailing address
108 LEAMINGTON WAY, IRMO, SC 29063-8258
(803) 960-6885
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2755
SC
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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