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Individual

LESLIE SUZANNE BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
25112 HIGHWAY 15, UNION, MS 39365-8580
(601) 774-8300
(601) 774-8300
Mailing address
25112 HIGHWAY 15, UNION, MS 39365-8580
(601) 774-8300

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2376
MS

Other

Enumeration date
03/12/2021
Last updated
03/12/2021
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