Individual provider · Type 1 NPI
Miranda N. Leach, PTA
Physical Therapy Assistant · Green Bay, WI
Practice location
2547 Trojan Dr
Green Bay, WI 54304-1436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 3105-19 (WI) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
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About NPI 1770185514
Miranda N. Leach, PTA's National Provider Identifier is 1770185514, issued on Nov 16, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Green Bay, WI. The record was last updated on Nov 16, 2020.