Individual
HEIDI LEESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2506 HANOVER AVE, APT 1, RICHMOND, VA 23220-4004
(570) 428-5890
Mailing address
2506 HANOVER AVE, APT 1, RICHMOND, VA 23220-4004
(570) 428-5890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210662
VA
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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