Individual
LEAH TREASURE CELIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4238 JAMES MADISON HWY, FORK UNION, VA 23055
(434) 842-2916
Mailing address
293 JEFFERSON DR, PALMYRA, VA 22963-2601
(941) 321-7818
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212639
VA
225100000X
Physical Therapist
31380
FL
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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