Individual
LESHA DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1771 KENNEDY RD, SAINT JOHNSVILLE, NY 13452-3712
(518) 222-6611
Mailing address
1771 KENNEDY RD, SAINT JOHNSVILLE, NY 13452-3712
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
NY
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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