Individual
LESLIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 LAUREL ST, GREENFIELD, MA 01301-3106
(413) 774-3143
Mailing address
95 LAUREL ST, GREENFIELD, MA 01301-3106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5444
MA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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