Individual
LEAH GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7 CABOT PL, 3RD FLOOR SUITE A, STOUGHTON, MA 02072-4631
(508) 851-9809
Mailing address
4 MATTHEW LN, MANSFIELD, MA 02048-3254
(908) 451-7278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20118
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003186002
PTAN
MA
01
—
20118
PT LICENSE
MA
Enumeration date
09/04/2012
Last updated
03/17/2018
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