Individual
LEIGHA J PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 E BOGARD RD, WASILLA, AK 99654-6563
(907) 921-5088
Mailing address
1700 E BOGARD RD, WASILLA, AK 99654-6563
(907) 921-5088
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
218303
AK
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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