Individual
MRS. JENNIFER MARIE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19740 WAMPLER DR, STOUTSVILLE, OH 43154-9573
(740) 412-5678
Mailing address
19740 WAMPLER DR, STOUTSVILLE, OH 43154-9573
(740) 412-5678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009137
OH
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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