NPI 1003055732

Heather Leshane, PT

Practitioner Physical Therapist Saint Augustine, FL

Practice location

Address: 400 Health Park Blvd, Saint Augustine, FL 32086-5784
Phone: (904) 819-4374
Fax: (904) 819-4958
Mailing address: 400 Health Park Blvd Outpatient Physical Therapy Dept, Saint Augustine, FL 32086-5784

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT21647 (FL)

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Registry record

NPI: 1003055732
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2009
Record last updated: 13 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.