Individual
JANA LEABIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
513 BLACK CANYON CT, WILDWOOD, MO 63011-1773
(314) 853-8017
Mailing address
513 BLACK CANYON CT, WILDWOOD, MO 63011-1773
(314) 853-8017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
107475
MO
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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