Individual
MRS. LISA AYD LEYDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2634 BRANDERMILL BLVD, GAMBRILLS, MD 21054
(410) 721-7201
(410) 721-7580
Mailing address
2634 BRANDERMILL BLVD, GAMBRILLS, MD 21054
(410) 721-7201
(410) 721-7580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16648
MD
Other
Enumeration date
12/18/2006
Last updated
10/15/2009
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