Whalio Doctors

NPI 1093318214

Mary Charlotte Leicht, PTDPT

Practitioner Physical Therapist North Augusta, SC

Practice location

Address
104 Walnut Ln STE 106, North Augusta, SC 29860-8684
Phone
(803) 599-5990
Fax
(803) 599-7239
Mailing address
1200 Corporate Dr STE 400, Hoover, AL 35242-5424

Registered specialties (2)

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 10484 (SC)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT014874 (GA)

Registry record

NPI
1093318214
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Nov 2020
Record last updated
19 Nov 2020

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.