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Individual

LESLIE RICHARD FLATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
12124 HIGHWAY 52 W STE D, WESTMORELAND, TN 37186-3258
(615) 644-6555
(615) 644-6557
Mailing address
705 S BROADWAY ST STE B, PORTLAND, TN 37148-1628
(615) 325-9007
(615) 325-5794

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4158
TN

Other

Enumeration date
07/03/2023
Last updated
07/03/2023
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