Leah Michelle Carreno
Physical Therapist
2817 Reilly Road
Fort Bragg
, North Carolina 28310
Leah Michelle Carreno
Physical Therapist
2817 Reilly Road
Fort Bragg
, North Carolina 28310
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Leah Michelle Carreno
- 2817 Reilly Road
- Fort Bragg, NC
- Zip : 28310
- Phone :
Second Address
- Leah Michelle Carreno
- 2817 Reilly Road
- Fort Bragg, NC
- Zip : 28310
- Phone : (910) 901-2778
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 0011481 | CO |
| Y | 225100000X | Physical Therapist | 11-04276 | KS |
National Provider Identifier
| NPI | 1003168915 |
|---|---|
| Provider Name | Leah Michelle Carreno |
| First Address | Fort Bragg, NC 28310 |
| Second Address | Fort Bragg, NC 28310 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2012 |
| Last Update Date | 03/10/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.