LESLIE A SHAW

ALACHUA, FL
NPI1699958074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  21098)
Enumeration Date2007-12-09
Last Update Date2007-12-09
Business Address
Mr. LESLIE A SHAW PTA
14910 MAIN ST
ALACHUA, FL 32615-8591
Phone number: 352-462-1843
Mailing Address
Mr. LESLIE A SHAW PTA
14910 MAIN ST
ALACHUA, FL 32615-8591
Phone number: 352-462-1843