Most Relevant Information
Provider Data
| NPI Number: | 1003055732 |
| Provider Name: | HEATHER LESHANE P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT21647 |
Most Important Dates
| Enumeration Date: | 02/19/2009 |
| Last Updated: | 09/13/2010 |
Provider Practice Location
400 HEALTH PARK BLVD
SAINT AUGUSTINE
FL
320865784
Practice Location Phone/Fax
| Phone: | 9048194374 |
| Fax: | 9048194958 |
Provider Mailing Location
400 HEALTH PARK BLVD
OUTPATIENT PHYSICAL THERAPY DEPT
SAINT AUGUSTINE
FL
320865784
Provider Mailing Phone/Fax
| Phone: | 9048194374 |
| Fax: | 9048194958 |