Individual
LESLIE DENISE GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2470 BLOOMINGDALE AVE, VALRICO, FL 33596-6403
(813) 409-2092
Mailing address
2470 BLOOMINGDALE AVE, VALRICO, FL 33596-6403
(813) 409-2092
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26583
FL
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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