Individual
MRS. JEANNE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1417
(203) 419-0381
(203) 419-0389
Mailing address
30 CAMBRIDGE DR, CHESHIRE, CT 06410-2004
(203) 250-0072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003367
CT
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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