Avery, Leah
Avery, Leah is an individual health care provider with primary practice located at 300 Prospect Ave , Hot Springs AR 71901-4003. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Avery, Leah can be contacted via phone (501) 622-3334.Contact Information
Primary practice address
300 Prospect Ave
Hot Springs AR 71901-4003
Phone: (501) 622-3334
Fax: (501) 622-3331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT3867 | Arkansas |
Profile Details
| NPI number | 1518369917 |
|---|---|
| LBN Legal business name | Avery, Leah |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2014 |
| Last updated | Sep 17th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518369917 | NPPES |
| Arkansas | MEDICAID | 102366105 |
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