Heather Leonard, | |
23621 Goldenrod Ave, Florala, AL 36442-3652 | |
(334) 858-8585 | |
Not Available |
Full Name | Heather Leonard |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 23621 Goldenrod Ave, Florala, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033576053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH4271 (Alabama) | Primary |
Provider Name | Pro Vita Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1790332351 PECOS PAC ID: 6901226976 Enrollment ID: O20230918002489 |
Mailing Address | Practice Location Address |
---|---|
Heather Leonard, 245 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124-2216 Ph: (205) 942-6820 | Heather Leonard, 23621 Goldenrod Ave, Florala, AL 36442-3652 Ph: (334) 858-8585 |
Mrs. Lauren Hose Tatum, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 804 Elm St, Florala, AL 36442 Phone: 334-574-0041 | |
Restore Florala Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23621 Goldenrod Ave, Florala, AL 36442 Phone: 205-942-6820 | |
Restore Outpatient Of Florala Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23621 Goldenrod Ave, Florala, AL 36442 Phone: 205-942-6820 |