Clarissa N Leickly, | |
75 Hickle St, Uniontown, PA 15401-4350 | |
(724) 437-9871 | |
Not Available |
Full Name | Clarissa N Leickly |
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Gender | Female |
Speciality | Physical Therapist |
Location | 75 Hickle St, Uniontown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225672090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 004129 (West Virginia) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174153266 PECOS PAC ID: 2163339722 Enrollment ID: O20200304001327 |
Mailing Address | Practice Location Address |
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Clarissa N Leickly, 1405 Hayden Ln, Morgantown, WV 26505-3916 Ph: (614) 329-4800 | Clarissa N Leickly, 75 Hickle St, Uniontown, PA 15401-4350 Ph: (724) 437-9871 |
Thomas Joseph Simons, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Berkeley St, Uniontown, PA 15401 Phone: 724-430-5000 | |
Mr. Paul Otto Paroda, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 Morgantown St, Uniontown, PA 15401 Phone: 724-437-8580 Fax: 724-437-8668 | |
Kody D Wagner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Wayland Smith Dr, Suite A, Uniontown, PA 15401 Phone: 724-437-8200 | |
Abigail Hartsock, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Hague Ln, Uniontown, PA 15401 Phone: 724-208-1520 | |
Mount Macrina Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 W Main St, Uniontown, PA 15401 Phone: 724-437-1400 Fax: 724-430-2438 | |
Alexis Dunn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Berkeley St, Uniontown, PA 15401 Phone: 724-430-5000 | |
Danielle Gilmore, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 129 Franklin Ave, Uniontown, PA 15401 Phone: 724-439-5700 |