| NPI | 1376814244 |
|---|---|
| Former Name | LESLIE BEARD LAWHUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH8743) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 07798) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2022-01-19 |