Healthcare Provider Details

I. General information

NPI: 1831125194
Provider Name (Legal Business Name): LEIGH BOYLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEIGH HAZEN

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 10/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 PLAISTOW RD UNIT 1
PLAISTOW NH
03865-2827
US

IV. Provider business mailing address

12 DEARBORN RIDGE RD
ATKINSON NH
03811-2229
US

V. Phone/Fax

Practice location:
  • Phone: 603-378-0082
  • Fax:
Mailing address:
  • Phone: 603-378-0082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2848
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number16491
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: