Individual
TYLER LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 3RD AVE SW STE 102, MINOT, ND 58701-3880
(701) 857-5286
Mailing address
PO BOX 5020, MINOT, ND 58702-5020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2375
ND
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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