Individual
ANDREW LEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 BOX BUTTE AVE, ALLIANCE, NE 69301-4445
(308) 761-3372
(308) 762-1556
Mailing address
1522 BIG HORN AVE, ALLIANCE, NE 69301-2433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3501
NE
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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