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1235380858
LESLIE ANN WILDER
BROOKLYN, NY
NPI
1235380858
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Former Name
LESLIE ANN ROOTBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: NY 002960-1)
Enumeration Date
2008-10-01
Last Update Date
2008-10-01
Business Address
Ms. LESLIE ANN WILDER P.T.
374 5TH AVE.
BROOKLYN, NY 11215
Phone number: 718-499-5238
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Mailing Address
Ms. LESLIE ANN WILDER P.T.
223 BERGEN ST.
BROOKLYN, NY 11217
Phone number: 718-243-0783
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