Individual
MR. WILLIAM G LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
8961 YOUREE DR, SHREVEPORT, LA 71115-3001
(318) 671-8772
(318) 671-8776
Mailing address
8961 YOUREE DR, SHREVEPORT, LA 71115-3001
(318) 671-8772
(318) 671-8776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02261
LA
225100000X
Physical Therapist
CP010730T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1976792
—
LA
05
—
3134900
—
LA
Enumeration date
03/20/2007
Last updated
04/26/2023
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