Basic Information
| Provider Information | |||||||||
| NPI: | 1568932028 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANCIA | ||||||||
| FirstName: | LEAH MICCI | ||||||||
| MiddleName: | MADRID | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 426 MCFARLAND DR | ||||||||
| Address2: | |||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197023682 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3028244295 | ||||||||
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| Practice Location | |||||||||
| Address1: | 750 SHIPYARD DR | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198015157 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026583000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/27/2018 | ||||||||
| LastUpdateDate: | 11/27/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | J1-0003089 | DE | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.