Helen Sue Leclair, MPT

Individual provider Active NPI Orthopedic Physical Therapist · Benson, AZ

NPI 1508907601 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1508907601
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
3286 (AZ)
Practice address
3057 W Williams Rd
Benson, AZ 85602-7616
Phone
(520) 586-3069
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3286AZMDOrthopedic Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 3286 AZ Yes

Addresses

Primary practice location

3057 W Williams Rd
Benson, AZ 85602-7616

Mailing address

3057 W Williams Rd
Benson, AZ 85602-7616
Phone (520) 586-3069

Other identifiers

IdentifierTypeStateIssuer
775314MedicaidAZ

Other providers in Benson, AZ

All providers in Benson, AZ · Orthopedic Physical Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.