Individual
LESLIE MARSICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5612 26TH ST W, BRADENTON, FL 34207-3515
(941) 751-6532
(941) 751-6932
Mailing address
8800 GRAND OAK CIR, SUITE 450, TAMPA, FL 33637-2006
(813) 558-6548
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 0001237
FL
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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