Leah Kay Hanusik
Physical Therapist in Raleigh, NC. Individual provider (NPI-1).
NPI number1104516574
StatusActive
Last updated in NPPESFeb 27, 2024
Details
- NPI
- 1104516574
- Entity type
- Individual (NPI-1)
- Name
- Leah Kay Hanusik
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2023
- Certification date
- Feb 27, 2024
- Last updated
- Feb 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | P22179 | NC | Yes |
Practice location
11030 Raven Ridge RdRaleigh, NC 27614-8511
Phone 919-844-6611
Mailing address
504 E Pettigrew St Apt 129Durham, NC 27701-4462
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