Individual
LESLI FAUSNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3949 SUNFOREST CT, SUITE 101, TOLEDO, OH 43623-4473
(419) 474-3399
(419) 474-5165
Mailing address
1-293 CO. RD. U, LIBERTY CENTER, OH 43532
(419) 461-1088
(419) 474-5165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9186
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2208864
—
OH
Enumeration date
05/23/2007
Last updated
07/08/2007
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