Individual
MS. LESLIE CHANTELLE LOVELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2109 S 45TH ST, TEMPLE, TX 76504-6970
(254) 624-7926
Mailing address
2109 S 45TH ST, TEMPLE, TX 76504-6970
(254) 624-7926
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014635
TX
Other
Enumeration date
01/29/2007
Last updated
02/29/2024
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