Individual
THOMAS PATRICK LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1380 LIBERTY ST SE, SALEM, OR 97302-4246
(503) 371-0779
(503) 371-0886
Mailing address
25 BOSTWICK RD, BRUNSWICK, ME 04011-7209
(207) 729-1446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5320
OR
225100000X
Physical Therapist
PT2353
ME
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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