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NPI Code Detail

MEDICARE: LEAH R HARRIS PT

MEDICARE: LEAH R HARRIS PT
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 Therapist1313920TX

General Provider Information

NPI Number : 1912143132
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH R HARRIS PT
Provider Business Mailing Address
First Line : 4900 SANGER AVE
Second Line :
City : WACO
State : TX
Zip : 76710-5866
Country : US
Telephone Number : 254-848-6284
Fax Number : 254-848-4193
Provider Business Practice Location Address
First Line : 4900 SANGER AVE
Second Line :
City : WACO
State : TX
Zip : 76710-5866
Country : US
Telephone Number : 254-848-6284
Fax Number : 254-848-4193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2008
Last Update Date : 09/11/2023

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