Individual
LESLIE DELACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3029 WHITE HORSE RD, GREENVILLE, SC 29611-7701
(864) 269-6131
Mailing address
2762 ALLEN BRIDGE RD, FOUNTAIN INN, SC 29644-6527
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5276
SC
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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