Provider Demographics
NPI:1144407537
Name:DAIGLE, LEAH JEAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:JEAN
Last Name:DAIGLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9 EXECUTIVE PARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4045
Mailing Address - Country:US
Mailing Address - Phone:603-424-1950
Mailing Address - Fax:603-424-4749
Practice Address - Street 1:9 EXECUTIVE PARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4045
Practice Address - Country:US
Practice Address - Phone:603-424-1950
Practice Address - Fax:603-424-4749
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH24602251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic