Julie Leidecker, PT

NPI #1447301643 in Bourbonnais, Illinois

Provider Information

NPI Number: 1447301643
Entity Type: Individual
Name: Julie Leidecker, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 586 WILLIAM R LATHAM SR DR STE 6B
City: Bourbonnais
State: Illinois
ZIP Code: 60914-2338
Phone: (815) 935-0540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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