Leach, Miranda N

Leach, Miranda N is an sole proprietor health care provider with primary practice located at 2547 Trojan Dr , Green Bay WI 54304-1436. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Leach, Miranda N can be contacted via phone (573) 718-9947.

Contact Information

Primary practice address
2547 Trojan Dr Green Bay WI 54304-1436
Phone: (573) 718-9947
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 3105-19 Wisconsin

Profile Details

NPI number 1770185514
LBN Legal business name Leach, Miranda N
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2020
Last updated Nov 16th, 2020 - about 5 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.

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