LESLIE NILSEN

MONROE, GA
NPI1568679587
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: GA  PT009147)
Enumeration Date2007-05-17
Last Update Date2008-01-18
Business Address
-- LESLIE NILSEN
517 GREAT OAKS DR SUITE 102
MONROE, GA 30655-8211
Phone number: 770-207-6624
Mailing Address
-- LESLIE NILSEN
307 STONE ST
OXFORD, GA 30054-2439
Phone number:
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