Individual
CHRISTINA LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2335
Mailing address
112 E 5TH AVE, ANTIGO, WI 54409-2710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
10/02/2018
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