Individual
LESLEY MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
7424 YOLANDA DR, FORT WORTH, TX 76112-4415
(817) 688-9166
Mailing address
7424 YOLANDA DR, FORT WORTH, TX 76112-4415
(817) 688-9166
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2139401
TX
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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