Individual
LEAH REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
350 MAIN ST FL 1, MALDEN, MA 02148-5089
(617) 952-6420
Mailing address
350 MAIN ST FL 1, MALDEN, MA 02148-5089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25026
MA
225100000X
Physical Therapist
25026
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25026
PHYSICAL THERAPIST LICENSE NUMBER
MA
Enumeration date
11/21/2020
Last updated
12/15/2020
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