Individual
DR. BRYAN LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
572 GARRISONVILLE RD, STAFFORD, VA 22554-3702
(540) 659-6408
Mailing address
PO BOX 588, GARRISONVILLE, VA 22463-0588
(540) 659-6408
(540) 659-6445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212204
VA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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