Individual
LESLIE MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10820 MARVIN E. JONES BLVD., LIVE OAK, FL 32060
(386) 658-5865
(386) 658-5542
Mailing address
15510 COUNTY ROAD 250, LIVE OAK, FL 32060-6070
(386) 658-5865
(386) 658-5542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18408
FL
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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