Individual
IAN MICHAEL LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
207 STADIUM ST, SMYRNA, DE 19977-2899
(302) 659-0173
(302) 659-0424
Mailing address
1812 MARSH RD, STORE 505, WILMINGTON, DE 19810-4581
(302) 793-0432
(302) 793-0400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10002392
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932355328
—
DE
01
—
3634428000
IBC AMERIHEALTH
—
Enumeration date
08/18/2008
Last updated
03/02/2010
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