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NPI 1326985466

NPI 1326985466 : LAURA K LEIFERT PT DPT LLC : EAST CANAAN, CT

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General NPI Number Information
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    NPI Number           |    1326985466
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAURA K LEIFERT PT DPT LLC 
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Dates
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    Enumeration Date     |    04/29/2026
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    Last Update Date     |    04/29/2026
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Provider Practice Location Address
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    Address Line         |    144 E CANAAN RD 
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    City                 |    EAST CANAAN
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    State                |    CT
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    Zip                  |    06024-2600
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    Country              |    US
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    Telephone            |    860-881-1836
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    Fax                  |    888-965-3580
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Provider Business Mailing Address
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    Address Line         |    144 E CANAAN RD 
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    City                 |    EAST CANAAN
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    State                |    CT
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    Zip                  |    06024-2600
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    Country              |    US
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    Telephone            |    860-881-1836
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    Fax                  |    860-965-3580
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Authorized Official
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    Title or Position    |    PHYSICAL THERAPIST
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    Name                 |     LAURA KATHERINE LEIFERT 
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    Credential           |    PT DPT
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    Telephone            |    860-881-1836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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