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Individual

LESLIE SHEMAIN NOVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
3007 PANOLA RD STE C, LITHONIA, GA 30038-2492
(770) 987-1122
(770) 987-1149
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 541-5492

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-03783
KS
225100000X
Physical Therapist
Primary
PT007778
GA

Other

Enumeration date
07/13/2006
Last updated
08/03/2020
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