Provider Demographics
NPI:1912047978
Name:DRURY, LEIGH DEBORAH (PT)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:DEBORAH
Last Name:DRURY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1257 COBBLERS XING
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-5012
Mailing Address - Country:US
Mailing Address - Phone:847-695-3653
Mailing Address - Fax:
Practice Address - Street 1:1257 COBBLERS XING
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-5012
Practice Address - Country:US
Practice Address - Phone:847-695-3653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist