Individual
LEAH AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
631 HAZEL ST, OSHKOSH, WI 54901-4600
(920) 252-4442
Mailing address
631 HAZEL ST, OSHKOSH, WI 54901-4600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014335A
IN
Other
Enumeration date
08/24/2021
Last updated
12/09/2025
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