Individual
LEAH MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHSPT
Contact information
Practice address
751 SEEWEE BLUFF RD, AWENDAW, SC 29429-6061
(843) 670-7246
Mailing address
751 SEEWEE BLUFF RD, AWENDAW, SC 29429-6061
(843) 670-7246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3974
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1087
—
SC
Enumeration date
09/28/2006
Last updated
01/21/2009
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