Individual
ALICE BROOKE LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
210 S BENNETT ST, SOUTHERN PINES, NC 28387-5402
(910) 692-8269
(910) 692-8479
Mailing address
210 S BENNETT ST, SOUTHERN PINES, NC 28387-5402
(910) 692-8269
(910) 692-8479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10424
NC
Other
Enumeration date
02/23/2006
Last updated
05/20/2010
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