Individual
LESLIE JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. P. T.
Contact information
Practice address
15500 ANNAPOLIS RD STE 102, BOWIE, MD 20715-3039
(443) 481-1140
Mailing address
1911 WESTBRIDGE DR UNIT 358, ANNAPOLIS, MD 21401-2469
(570) 875-8283
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
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