Individual
LESLEY HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MINWICK CT, MYRTLE BEACH, SC 29579-5351
(812) 350-8255
Mailing address
112 MINWICK CT, MYRTLE BEACH, SC 29579-5351
(812) 350-8255
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3537
SC
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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