Individual
DR. ASHLEE LEIDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1701 SHARP RD, WATERFORD, WI 53185-5214
(262) 534-7297
(262) 534-7257
Mailing address
133 W OREGON ST APT 411, MILWAUKEE, WI 53204-1482
(920) 716-3862
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
13975
WI
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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