Individual
JESSICA N LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 291-2523
Mailing address
797 COUNTY ROAD 16, MOUNTAIN HOME, AR 72653-6686
(870) 291-2523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4691
AR
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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