Individual
MRS. LESLIE MICHELE MANCILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
104 E HERITAGE DR, FRIENDSWOOD, TX 77546-3854
(281) 993-2009
(281) 993-2007
Mailing address
PO BOX 618, SANTA FE, TX 77510-0618
(409) 789-3605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2029429
TX
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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