Individual
DERYL DAMONE LEAPHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2463 AUGUSTA HWY, LEXINGTON, SC 29072-2215
(803) 821-3438
(803) 821-3466
Mailing address
2463 AUGUSTA HWY, LEXINGTON, SC 29072-2215
(803) 821-3438
(803) 821-3466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
764
SC
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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