Provider Demographics
NPI:1144399320
Name:CARR, LEIGH MARIE (PT)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:MARIE
Last Name:CARR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2172 QUARRY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-4986
Mailing Address - Country:US
Mailing Address - Phone:812-267-9794
Mailing Address - Fax:
Practice Address - Street 1:5100 BRADENTON AVE
Practice Address - Street 2:STE A
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-7567
Practice Address - Country:US
Practice Address - Phone:614-336-8733
Practice Address - Fax:614-336-0658
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist