Individual
LESLIE P DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
100 WINTERS ST STE 103, WEST POINT, VA 23181-9534
(804) 843-9033
(804) 843-9037
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2306
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204768
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010355613
—
VA
01
—
192965
BCBS PHY THERAPY
VA
01
—
7922915
AETNA
VA
01
—
P00395278
RAILROAD MEDICARE
VA
Enumeration date
11/16/2006
Last updated
04/16/2018
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