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Individual

AMY LEAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8710 EMGE RD, PARKVILLE, MD 21234-3504
(410) 661-9627
Mailing address
2826 BAUERNWOOD AVE, PARKVILLE, MD 21234-7608

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4490
MD

Other

Enumeration date
10/21/2017
Last updated
10/21/2017
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