NICOLE D LEACH

BEND, OR
NPI1255887998
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  63972)
Additional Taxonomies225100000X Physical Therapist
(Licence: PA  PT025430)
Enumeration Date2016-09-01
Last Update Date2022-10-12
Business Address
NICOLE D LEACH DPT
915 NE 7TH ST STE 1
BEND, OR 97701-4515
Phone number: 541-728-0974
Mailing Address
NICOLE D LEACH DPT
20 PARK PL STE 2
SHIPPENSBURG, PA 17257-9806
Phone number: 717-477-8030