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Individual

LEAH D HARVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
840 HAMMOND ST STE 2, BANGOR, ME 04401-4339
(207) 433-7778
(866) 220-5031
Mailing address
21 JOHNNAS WAY, GLENBURN, ME 04401-1258
(207) 356-9215
(866) 220-5031

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3445
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1609024116
ANTHEM
ME
01
P00677350
MEDICARE RAILROAD
ME
Enumeration date
09/09/2008
Last updated
03/29/2013
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