Individual
DR. LESLIE ROBERT LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 489-4640
Mailing address
622 E PENNSYLVANIA ST, BOISE, ID 83706-4432
(208) 851-8909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2829
ID
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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