Individual
MRS. LESLEY MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
406 S MAIN ST, WINNSBORO, TX 75494-3226
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2044949
TX
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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