Individual
CARRIE ANN LEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1793 NEWARK RD, KENNETT SQUARE, PA 19348-1106
(484) 883-1911
Mailing address
1793 NEWARK RD, KENNETT SQUARE, PA 19348-1106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT021679
—
Other
Enumeration date
10/24/2011
Last updated
07/10/2014
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