| NPI | 1790930931 |
|---|---|
| Former Name | LESLIE ANN WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22721) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0003342) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2018-04-26 |