NPI 1093318214
Mary Charlotte Leicht, PTDPT
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
Physical Therapist
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.