Individual
LESLIE P DAVIS
Active
Individual
LESLIE P DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
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
Update your record
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