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NPI 1003168915 · live from the CMS NPI Registry

Leah Michelle Carreno, DPT

Physical Therapist in Washington, DC. National Provider Identifier 1003168915, active.

NPI record

NPI1003168915 Type 1 · individual
StatusActive
Primary specialtyPhysical Therapist 225100000X
Practice locationDilorenzo Tricare Health Clinic 5801 Defense Pentagon, Washington, DC 20310
Practice phone703-692-8982
Mailing address2817 Reilly Road, Fort Bragg, NC 28310
EnumeratedOctober 3, 2012
Last updatedJune 26, 2024
Sole proprietorNo
Other namesLeah Marietta

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist225100000X0011481 (CO)
Physical Therapist primary225100000X11-04276 (KS)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.