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Individual

LESLIE MASTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
220 STARVIEW DR, PARK CITY, UT 84098-6109
(435) 655-7020
Mailing address
220 STARVIEW DR, PARK CITY, UT 84098-6109

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23047
CA
225100000X
Physical Therapist
Primary
365176-2401
UT

Other

Enumeration date
03/16/2012
Last updated
03/16/2012
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