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NPI Code Detail

MEDICARE: LEON SI ZHAO PT

MEDICARE:   LEON SI ZHAO  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 Therapist036785NY
2225100000XPhysical Therapist010028CT
3225100000XPhysical TherapistP15410NC

General Provider Information

NPI Number : 1154748440
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEON SI ZHAO PT
Provider Business Mailing Address
First Line : PO BOX 601791
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-1791
Country : US
Telephone Number : 980-302-9740
Fax Number : 980-302-9750
Provider Business Practice Location Address
First Line : 6324 FAIRVIEW RD STE 202
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3361
Country : US
Telephone Number : 980-302-9740
Fax Number : 980-302-9750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2014
Last Update Date : 08/24/2023

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Directions to “ LEON SI ZHAO PT” Practice Location

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