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Miranda Leach, PTA
NPI 1770185514 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2547 Trojan Dr
Green Bay, WI 54304 - Phone
- (573) 718-9947
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin