Individual
MRS. LESLIEANN RHODES BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
741 S BENEVA RD, SARASOTA, FL 34232-2411
(941) 957-0310
Mailing address
6913 PLEASANT HILL RD, BRADENTON, FL 34203-7805
(941) 779-8087
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA48747
FL
174400000X
Specialist
Primary
PTA22730
FL
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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