Individual
LESLIE ALLISON SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
160 FARMHOUSE RD, CAMPOBELLO, SC 29322-9344
(864) 702-8090
Mailing address
3740 BOILING SPRINGS RD # 127, BOILING SPRINGS, SC 29316-5716
(864) 702-8090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4909
SC
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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