Individual
MR. KRAIG WILLIAM LEIBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1350 BROADCASTING RD, STE 201, WYOMISSING, PA 19610-3220
(610) 685-9600
(610) 685-6700
Mailing address
1350 BROADCASTING RD, STE 201, WYOMISSING, PA 19610-3220
(610) 685-9600
(610) 685-6700
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT008902L
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
PT008902L
PA
Other
Enumeration date
08/30/2005
Last updated
08/26/2008
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