| NPI | 1841538592 |
|---|---|
| Former Name | LESLIE ANN E ESSARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2012038358) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MO 2010024116) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2015-03-18 |