Individual
LESLIE ANGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
635 WALDEN CIR APT 201, BOULDER, CO 80305-7615
(303) 304-6431
Mailing address
635 WALDEN CIR APT 201, BOULDER, CO 80305-7615
(303) 304-6431
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013249
CO
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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