Individual
LESLIE JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. P. T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26699
MD
225100000X
Physical Therapist
29552
FL
225100000X
Physical Therapist
872000
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
624013ZRKT
MEDICARE
DC
01
—
624037ZR1S
MD MEDICARE
MD
Enumeration date
09/16/2014
Last updated
03/17/2018
Update your record
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