Individual
LESLIE BLAKE NOVOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4833 TUMWATER VALLEY DR SE STE 150, TUMWATER, WA 98501-4583
(360) 493-4160
(360) 419-3416
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(360) 486-6508
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
6934
OR
2251X0800X
Orthopedic Physical Therapist
Primary
PT60291158
WA
Other
Enumeration date
07/11/2012
Last updated
05/29/2024
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