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NPI Code Detail

MEDICARE: MISS LEEANN M WRIGHT PT

MEDICARE:  MISS LEEANN M WRIGHT  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 TherapistPT22207FL
2225100000XPhysical Therapist5083SC

General Provider Information

NPI Number : 1225177637
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LEEANN M WRIGHT PT
Provider Business Mailing Address
First Line : PO BOX 6069
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29171-6069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7033 SAINT ANDREWS RD STE 203
Second Line :
City : COLUMBIA
State : SC
Zip : 29212-1181
Country : US
Telephone Number : 803-749-6759
Fax Number : 803-791-2713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 11/11/2020

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Directions to “ MISS LEEANN M WRIGHT PT” Practice Location

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