| NPI | 1033200381 |
|---|---|
| Former Name | LESLEY ANN MCSHEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3321) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17707) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-05-09 |