Individual
DONALD LECKLITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1547
Mailing address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205095
VA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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