Provider Demographics
NPI:1750685012
Name:DEARMAN, LEAH KAY (PT)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:KAY
Last Name:DEARMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:LEAH
Other - Middle Name:KAY
Other - Last Name:HENNIGH-DEARMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:290 CITRUS TOWER BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-2783
Mailing Address - Country:US
Mailing Address - Phone:352-242-9022
Mailing Address - Fax:352-242-9044
Practice Address - Street 1:290 CITRUS TOWER BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2783
Practice Address - Country:US
Practice Address - Phone:352-242-9022
Practice Address - Fax:352-242-9044
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-30
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 16809225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist