Individual
REBECCA BRADLEIGH LELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
3250 HARDEN STREET EXT STE 200, COLUMBIA, SC 29203-6842
(803) 939-0097
(803) 939-1103
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-0993
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO006167
SC
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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