| NPI | 1871978882 |
|---|---|
| Other Name | LESLIE ANNETTE MIDLICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT5113) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000006853) |
| 225100000X Physical Therapist (Licence: MS PT1443) | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2022-11-26 |