Individual
JOSHUA LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 E WILLETTA ST, PHOENIX, AZ 85006-2749
(602) 839-2317
Mailing address
1012 E WILLETTA ST, PHOENIX, AZ 85006-2749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9659A
AZ
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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