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Individual

JANET A LEICHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
8228 BRENTWOOD INDUSTRIAL DR, SAINT LOUIS, MO 63144-2815
(314) 961-3804
(314) 961-1147
Mailing address
13537 BARRETT PARKWAY DR, SUITE 105, BALLWIN, MO 63021-5899
(314) 821-9126
(314) 821-9142

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1999135157
MO

Other

Enumeration date
10/16/2006
Last updated
07/08/2007
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