Provider Demographics
NPI:1104961333
Name:DION, LEAH CHANDLER (DPT)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:CHANDLER
Last Name:DION
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2089 CECIL ASHBRN DR STE 202
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-2569
Mailing Address - Country:US
Mailing Address - Phone:256-883-9494
Mailing Address - Fax:256-883-9490
Practice Address - Street 1:2089 CECIL ASHBRN DR STE 202
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-2569
Practice Address - Country:US
Practice Address - Phone:256-883-9494
Practice Address - Fax:256-883-9490
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4434225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051537916Medicare PIN