Individual
LESLIE JEAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-3131
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-3131
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
72819
WI
Other
Enumeration date
08/04/2008
Last updated
03/14/2024
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