Individual
LEAH SUZANNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
158 W MAIN ST, EAGLE POINT, OR 97524-0449
(541) 830-0914
Mailing address
2195 MEALS DR, MEDFORD, OR 97501-4377
(541) 500-7508
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9367
TN
Other
Enumeration date
07/13/2012
Last updated
01/04/2019
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