Individual
LEANNE ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
33 OLDE GATE CT, POOLER, GA 31322-8281
(904) 505-8375
(912) 244-9953
Mailing address
33 OLDE GATE CT, POOLER, GA 31322-8281
(904) 505-8375
(912) 244-9953
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010197
GA
225100000X
Physical Therapist
PT21587
FL
Other
Enumeration date
11/23/2016
Last updated
10/12/2022
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