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NPI Code Detail

MEDICARE: PAMELA SUE ELSKE-LEONETTI PT

MEDICARE: PAMELA SUE ELSKE-LEONETTI 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 Therapist10749NC

General Provider Information

NPI Number : 1457470460
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA SUE ELSKE-LEONETTI PT
Provider Business Mailing Address
First Line : 2862 20TH ST NE
Second Line : HICKORY
City : HICKORY
State : NC
Zip : 28601-9184
Country : US
Telephone Number : 336-613-0426
Fax Number :
Provider Business Practice Location Address
First Line : 420 N CENTER ST
Second Line : HICKORY
City : HICKORY
State : NC
Zip : 28601-5033
Country : US
Telephone Number : 828-315-3619
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/08/2007

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Directions to “ PAMELA SUE ELSKE-LEONETTI PT” Practice Location

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