| NPI | 1952447807 |
|---|---|
| Former Name | LESLIE HOWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 2940) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 278397-2401) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2014-01-31 |