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Individual

LEAH AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
300 PROSPECT AVE, HOT SPRINGS, AR 71901-4003
(501) 622-3334
(501) 622-3331
Mailing address
300 PROSPECT AVE, HOT SPRINGS, AR 71901-4003
(501) 622-3334
(501) 622-3331

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3867
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102366105
AR
Enumeration date
09/17/2014
Last updated
09/17/2014
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