Conway, Leesa A

Conway, Leesa A is an individual health care provider with primary practice located at 101 Boulder Point Dr Suite 3, Plymouth NH 03264-3170. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Conway, Leesa A can be contacted via phone (603) 536-5533.

Contact Information

Primary practice address
101 Boulder Point Dr Suite 3 Plymouth NH 03264-3170
Phone: (603) 536-5533
Fax: (603) 536-5550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11560 Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3191 New Hampshire

Profile Details

NPI number 1962612879
LBN Legal business name Conway, Leesa A
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Feb 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962612879 NPPES
New Hampshire MEDICAID 30396921
New Hampshire MEDICAID 0326461

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