Individual
MRS. SUSAN MEADOWS LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
717 N JEFFERSON ST, LEWISBURG, WV 24901
(304) 645-2525
(304) 645-2820
Mailing address
15 UNDERWOOD ROAD, LEWISBURG, WV 24901
(304) 667-1040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002237
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001814354
MT ST BC AND BS
WV
05
—
3810005149
—
WV
Enumeration date
07/31/2006
Last updated
08/29/2013
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