MEDICARE: LEANNE FINNIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT21946	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235275330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANNE FINNIE

Provider Business Mailing Address
First Line	:	102 S 17TH STREET
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 LIME ST
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034-3017
Country	:	US
Telephone Number	:	904-261-0771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	11/15/2012

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Directions to “ LEANNE FINNIE ” Practice Location

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