Individual
MRS. LESLIE KLINCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2203 PENTLAND RD, LYNN HAVEN, FL 32444-5360
(850) 896-7144
Mailing address
2203 PENTLAND RD, LYNN HAVEN, FL 32444-5360
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22705
FL
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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