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Individual

MRS. LEANNE M. BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
69 MAIN ST, FAIRHAVEN, MA 02719-2923
(508) 997-1311
Mailing address
69 MAIN ST, FAIRHAVEN, MA 02719-2923
(508) 997-1311

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
10358
MA
2251P0200X
Pediatric Physical Therapist
Primary
10358
MA

Other

Enumeration date
07/09/2016
Last updated
08/29/2016
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