DIANNE MICHELLE LECKWOLD

WOODSTOCK, GA
NPI1881941102
Former NameDIANNE M BOSS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT005200)
Enumeration Date2012-08-06
Last Update Date2012-08-06
Business Address
DIANNE MICHELLE LECKWOLD PT
756 NEESE RD
WOODSTOCK, GA 30188-4297
Phone number: 770-517-5513
Mailing Address
DIANNE MICHELLE LECKWOLD PT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 800-944-9782
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