Individual
MRS. LEONA RENEE BAHAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER, FORT EUSTIS, VA 23604-5548
(757) 314-7666
Mailing address
6205 PARTRIDGE DR, VIRGINIA BEACH, VA 23464-1911
(757) 578-4676
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2050707
TX
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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