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Individual

JULIE KATHLEEN LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 768-4400
Mailing address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 768-4400

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 001796
WV

Other

Enumeration date
09/14/2012
Last updated
09/14/2012
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