Individual
CARTER LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3000G STONY POINT RD, RICHMOND, VA 23235-2349
(804) 877-0008
Mailing address
10704 KILPATRICK LN, GLEN ALLEN, VA 23059-8023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216488
VA
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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