Individual
MATTHEW P LEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
637 S 52ND ST, PHILADELPHIA, PA 19143-2630
(215) 472-3500
Mailing address
637 S 52ND ST, PHILADELPHIA, PA 19143-2630
(215) 472-3500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001896
PA
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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