Individual
MRS. LESLIE CHERYL GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
Mailing address
4225 STONE MILL CT, MARTINEZ, GA 30907-1609
(706) 364-4225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
000143
GA
225200000X
Physical Therapy Assistant
Primary
1351
SC
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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