Individual
MRS. LESLIE ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 S CREEKSIDE TRL, MCHENRY, IL 60050-5156
(815) 759-8909
Mailing address
101 S CREEKSIDE TRL, MCHENRY, IL 60050-5156
(815) 759-8909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007189
IL
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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