Individual
LESLIE LEANN WORZALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 WOOD ST, SISTERSVILLE, WV 26175-1523
(304) 652-1032
Mailing address
124 RURAL ST, PADEN CITY, WV 26159-1330
(304) 771-9775
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001828
WV
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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