MRS. Diane S. Leach, P.T.

NPI #1194009118 in Fort Edward, New York

Provider Information

NPI Number: 1194009118
Entity Type: Individual
Name: MRS. Diane S. Leach, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Oct 10, 2011
Last Updated: Oct 10, 2011

Practice Location

Address: 1153 BURGOYNE AVE
Address 2: SUITE 2
City: Fort Edward
State: New York
ZIP Code: 12828-1134
Phone: (518) 746-3350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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