Individual
MS. LESLIE GAIL WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3033 SARNO RD, MELBOURNE, FL 32934-7229
(321) 242-6812
Mailing address
3033 SARNO RD, MELBOURNE, FL 32934-7229
(321) 242-6812
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306602282
VA
225200000X
Physical Therapy Assistant
A3770
NC
225200000X
Physical Therapy Assistant
Primary
PTA 23190
FL
Other
Enumeration date
10/04/2010
Last updated
02/05/2013
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