Individual
RICHARD JOHN KLEINLEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4300 BARTLETT ST, HOMER, AK 99603-7005
(907) 235-0370
Mailing address
PO BOX 367, HOMER, AK 99603-0367
(907) 235-8702
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
129560
AK
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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