| NPI | 1639501653 |
|---|---|
| Former Name | LEAH MICHELLE CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011083) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9029) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2018-03-17 |