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NPI Code Detail

MEDICARE: LEAH DENNIS LEE DPT

MEDICARE:   LEAH DENNIS LEE  DPT
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
1225100000XPhysical TherapistPTH10343AL

General Provider Information

NPI Number : 1528633344
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH DENNIS LEE DPT
Provider Business Mailing Address
First Line : 4 OFFICE PARK CIR STE 217
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2674
Country : US
Telephone Number : 205-263-2770
Fax Number : 205-263-0994
Provider Business Practice Location Address
First Line : 1021 BROCKS GAP PKWY STE 115
Second Line :
City : HOOVER
State : AL
Zip : 35244-4076
Country : US
Telephone Number : 205-307-0525
Fax Number : 205-453-4221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2021
Last Update Date : 05/24/2021

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Directions to “ LEAH DENNIS LEE DPT” Practice Location

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