Individual
DANIELLE LECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2031
Mailing address
1405 MILL ST, NEW LONDON, WI 54961-2155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11741-24
WI
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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