JENNIFER A LEACH

PEORIA, IL
NPI1780913509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160002608)
Enumeration Date2009-12-08
Last Update Date2009-12-08
Business Address
-- JENNIFER A LEACH PTA
5409 N KNOXVILLE AVE STE 400
PEORIA, IL 61614
Phone number: 309-692-6644
Mailing Address
-- JENNIFER A LEACH PTA
5401 N KNOXVILLE STE 400
PEORIA, IL 61614-5021
Phone number: 309-692-6644