| NPI | 1336496868 |
|---|---|
| Former Name | KANDICE MARIE LESOFSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 1827) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9048) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2025-08-27 |