Doctor Name: | DR. CAROL J LEACH |
NPI Number: | 1023224300 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT PHD |
License Number: | 548 |
Business Practice Address: | 920 Barlow Rd Fort Morgan, CO - 807014371 |
Business Phone Number: | 9705423225 |
Business Fax Number: | 9705423115 |
Mailing Address: | 2010 46th Ave Unit 49, GREELEY |
State: | CO |
Postal Code: | 806343258 |
Phone Number: | 9703976353 |
Fax Number: | 9705423115 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 05/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |