Individual
HEATHER LEASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
141 S MAIN ST, BOONSBORO, MD 21713-1203
(301) 432-5457
Mailing address
2741 ROOSEVELT DR, CHAMBERSBURG, PA 17201-8943
(301) 707-3636
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4669
MD
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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