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Individual

MRS. LEIGH MARIE HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, ATC

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-03630
KS
225100000X
Physical Therapist
Primary
4102
OK
2255A2300X
Athletic Trainer
24-00522
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200272070A
OK
Enumeration date
10/13/2006
Last updated
08/10/2016
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