Individual
LESLIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13111 HOOPER ROAD, BATON ROUGE, LA 70818
(225) 261-7094
(225) 261-7095
Mailing address
13111 HOOPER ROAD, BATON ROUGE, LA 70818
(225) 261-7094
(225) 261-7095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6558
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6558
LA PTA
—
Enumeration date
12/06/2007
Last updated
12/06/2007
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