Individual
MICHAEL T LEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1200 N JAMES ST STE A, JACKSONVILLE, AR 72076-3167
(501) 241-0410
Mailing address
1200 N JAMES ST STE A, JACKSONVILLE, AR 72076-3167
(501) 241-0410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1462
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175228721
—
AR
Enumeration date
02/20/2009
Last updated
02/20/2009
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