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Individual

MRS. LESLIE KAY OGLESBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1330 BOILING SPRINGS RD, SUITE B, SPARTANBURG, SC 29303-4201
(864) 582-0019
(864) 582-2160
Mailing address
1330 BOILING SPRINGS RD, SUITE B, SPARTANBURG, SC 29303-4201
(864) 582-0019
(864) 582-2160

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1097
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1097
STATE LICENSE NUMBER
SC
Enumeration date
01/11/2006
Last updated
11/30/2007
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