Individual
AMANDA LEASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2654 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562-4238
(252) 637-0093
Mailing address
103 SHADY SIDE LN, NEW BERN, NC 28562-9590
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7596
NC
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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