Individual
MRS. LESLIE G CLODFELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
1003 MILL POND LN STE C, GREENCASTLE, IN 46135-2609
(765) 653-8494
Mailing address
600 OAKMONT LN, STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003607A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10021150
—
IN
Enumeration date
12/01/2006
Last updated
02/18/2020
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