Individual
LEAH S IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS, CLT-LANA
Contact information
Practice address
2001 S HANLEY RD, SAINT LOUIS, MO 63144-1518
(314) 821-8304
Mailing address
11890 FEATHERWOOD DR, SAINT LOUIS, MO 63146-4700
(314) 402-5904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
118019
MO
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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