Individual
SARA ROSE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
216 BEDFORD FALLS LN, JARRELL, TX 76537-0629
(512) 966-9073
Mailing address
216 BEDFORD FALLS LN, JARRELL, TX 76537-0629
(512) 966-9073
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2155997
TX
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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