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Individual

DR. CHARLES LESLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1727 2ND ST STE 2, SARASOTA, FL 34236-8524
(941) 951-0170
(941) 993-1088
Mailing address
8753 WALTON OAKS DR, BLOOMINGTON, MN 55438-1353

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12400
MN
225100000X
Physical Therapist
Primary
PT40449
FL

Other

Enumeration date
09/15/2021
Last updated
10/19/2023
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