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NPI Code Detail

MEDICARE: LILLI LEIHUA LEONG MSPT

MEDICARE:   LILLI LEIHUA LEONG  MSPT
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
1208100000XPhysical Medicine & Rehabilitation PhysicianPT2089HI
22251P0200XPediatric Physical Therapist1199950TX

General Provider Information

NPI Number : 1447384839
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLI LEIHUA LEONG MSPT
Provider Business Mailing Address
First Line : 1215 GRUENE VINTAGE
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-4424
Country : US
Telephone Number : 808-256-4463
Fax Number :
Provider Business Practice Location Address
First Line : 19965 FM 3175
Second Line :
City : LYTLE
State : TX
Zip : 78052-3481
Country : US
Telephone Number : 210-357-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 11/14/2017

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Directions to “ LILLI LEIHUA LEONG MSPT” Practice Location

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