Provider Demographics
NPI:1407301039
Name:KUCZYNSKI, LEAH ELIZABETH (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:ELIZABETH
Last Name:KUCZYNSKI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 APPLIED BANK BLVD
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-3501
Mailing Address - Country:US
Mailing Address - Phone:484-800-8740
Mailing Address - Fax:484-800-8745
Practice Address - Street 1:101 APPLIED BANK BLVD
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-3501
Practice Address - Country:US
Practice Address - Phone:484-800-8740
Practice Address - Fax:484-800-8745
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0248772251P0200X
DEJ1-00034262251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics