Individual
LEAH CONCHIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-61173
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500691138
—
OR
01
—
P01742038
RR MEDICARE
OR
Enumeration date
07/20/2015
Last updated
12/28/2016
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