Provider Demographics
NPI:1639223456
Name:LEACH, MARGARET WOODLAND (PTA)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:WOODLAND
Last Name:LEACH
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3845 HILLSIDE DR
Mailing Address - Street 2:P.O. BOX 70
Mailing Address - City:NEFFS
Mailing Address - State:PA
Mailing Address - Zip Code:18065-0070
Mailing Address - Country:US
Mailing Address - Phone:610-767-5813
Mailing Address - Fax:
Practice Address - Street 1:1 S HOME AVE
Practice Address - Street 2:
Practice Address - City:TOPTON
Practice Address - State:PA
Practice Address - Zip Code:19562-1317
Practice Address - Country:US
Practice Address - Phone:610-682-1478
Practice Address - Fax:610-682-1123
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant