Individual
TRICIA ANN LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1706 MAGNOLIA WAY, AUGUSTA, GA 30909
(706) 210-7529
(706) 312-7613
Mailing address
226 PINE HOLLOW DR, AIKEN, SC 29803-9691
(803) 643-0131
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000528
GA
Other
Enumeration date
07/07/2006
Last updated
04/30/2009
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