Shannette Leach, PTA

NPI #1073001129 in Carthage, Texas

Provider Information

NPI Number
1073001129
Entity Type
Individual
Name
Shannette Leach, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Apr 24, 2018
Last Updated
Apr 24, 2018

Practice Location

Address
133 STONEGATE DR
State
Texas
ZIP Code
75633-2268
Phone
(903) 754-0829

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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