Provider Demographics
NPI:1053557439
Name:MAPLES, LEIGH ANNE (PT)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANNE
Last Name:MAPLES
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 1:171 OLD HIGHWAY 58 STE 5
Mailing Address - Street 2:
Mailing Address - City:CEDAR POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28584-9342
Mailing Address - Country:US
Mailing Address - Phone:252-670-7746
Mailing Address - Fax:
Practice Address - Street 1:1165 CEDAR POINT BLVD STE M
Practice Address - Street 2:
Practice Address - City:CEDAR POINT
Practice Address - State:NC
Practice Address - Zip Code:28584-1030
Practice Address - Country:US
Practice Address - Phone:252-808-4444
Practice Address - Fax:252-764-2442
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9066225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist