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Individual

LESLIE ALEC MCNEILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
41 RICKEL RD, SUN PRAIRIE, WI 53590-1840
(608) 825-3242
(608) 837-9484
Mailing address
706 SUMMERTON CT, SUN PRAIRIE, WI 53590-3755
(608) 825-2105

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
635-019
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40371400
WI
Enumeration date
05/07/2007
Last updated
07/08/2007
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