Physician Compare National (NPI:1063683738)

HEALTHCARE PROVIDER: LEEANN MARIE PRICE PT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1063683738
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284706433
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080702000532
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRICE
	Individual professional last name
Provider First Name	LEEANN
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7080 DONLON WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	DUBLIN
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945682788
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y