| NPI | 1396162079 |
|---|---|
| Professional Name | BRENDA LEE LESTOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 1361) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ 1033) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2018-03-04 |