Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | CA | |
N | 225100000X | Physical Therapist | 26728 | CA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT26728 | CA |
N | 2251N0400X | Physical Therapist - Neurology | PT26728 | CA |
N | 2251S0007X | Physical Therapist - Sports | PT26728 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | 26728 | CA |
NPI | 1134323215 |
---|---|
Provider Name | Gretchen A Leachman |
First Address | San Jose, CA 95117-1597 |
Second Address | San Jose, CA 95117-1597 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 03/11/2016 |