Individual
PAMELA DAWN LEESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
432 E MAIN ST, MIDDLETOWN, DE 19709-1462
(302) 376-4315
(302) 376-4318
Mailing address
339 DAYLILLY WAY, MIDDLETOWN, DE 19709-5829
(302) 442-1942
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J20000612
DE
225200000X
Physical Therapy Assistant
TE000579L
PA
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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