Individual
MRS. MICHELLE LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 AMERICHASE DR, SUITE K, GREENSBORO, NC 27409-9505
(336) 665-8445
Mailing address
1504 META CT, HIGH POINT, NC 27265-8137
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5017
NC
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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