| Doctor Name: | MS. LEANORA THERESA PREMEAU |
| NPI Number: | 1043269988 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 6910 |
| Business Practice Address: | 416 E 4th St Salida, CO - 812012822 |
| Business Phone Number: | 7195392431 |
| Business Fax Number: | 7195393626 |
| Mailing Address: | 416 E 4th St, SALIDA |
| State: | CO |
| Postal Code: | 812012822 |
| Phone Number: | 7195392431 |
| Fax Number: | 7195393626 |
| NPI Enumeration Date: | 05/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 6910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |