Individual
MS. LESLIE SUE INNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
4515 S MCCLINTOCK DR, SUITE#118, TEMPE, AZ 85282-7376
(505) 270-6545
Mailing address
3471 CERRILLOS RD, TRAILER # 93, SANTA FE, NM 87507-7235
(505) 270-6545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
164
NM
225100000X
Physical Therapist
Primary
5249
AZ
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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