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1699953018
LESLIE N COOK
PORT ORANGE, FL
NPI
1699953018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA20950)
Enumeration Date
2008-02-07
Last Update Date
2008-02-07
Business Address
-- LESLIE N COOK PTA
1675 DUNLAWTON AVE
PORT ORANGE, FL 32127-4755
Phone number: 386-761-1055
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Mailing Address
-- LESLIE N COOK PTA
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number:
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