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Individual

DR. LESLIE KARINA BOURGEOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
7560 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(703) 753-1005
Mailing address
6579 DECLARATION CT, BEALETON, VA 22712-9464
(540) 764-2083

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214392
VA

Other

Enumeration date
06/18/2021
Last updated
06/18/2021
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