Individual
JEFF M. LEISZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2500 WINCHESTER PL, SUITE 100, SPARTANBURG, SC 29301-1550
(864) 574-7282
(864) 574-7664
Mailing address
PO BOX 629, MAULDIN, SC 29662-0629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3472
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11487456
FIRST HEALTH
SC
Enumeration date
05/03/2006
Last updated
10/26/2007
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