Individual
LESLIE ANN FICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1350 W MAIN ST, BERNE, IN 46711-1741
(260) 589-4418
(260) 589-4447
Mailing address
1411 W COUNTY LINE RD, GREENWOOD, IN 46142-5249
(800) 486-4449
(317) 886-5027
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011072A
IN
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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