| Doctor Name: | MICHELE LYNN LEASURE |
| NPI Number: | 1467591388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T., OCS |
| License Number: | 018914-1 |
| Business Practice Address: | 56 June Road North Salem, NY - 10560 |
| Business Phone Number: | 9146699085 |
| Business Fax Number: | 9146699095 |
| Mailing Address: | Po Box 662, NORTH SALEM |
| State: | NY |
| Postal Code: | 105600662 |
| Phone Number: | 9146699085 |
| Fax Number: | 9146699095 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 018914-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |