Individual
LEAH TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4555 N SHALLOWFORD RD, ATLANTA, GA 30338-6403
(404) 778-6031
(404) 778-6034
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(800) 341-1703
(877) 719-4609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016622
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT016622
PT LICENSE
GA
Enumeration date
06/14/2023
Last updated
06/14/2023
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