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Individual

LESLIE NASEEF JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
415 MORRIS ST, SUITE 400, CHARLESTON, WV 25301-1842
(304) 344-3551
(304) 342-6927
Mailing address
415 MORRIS ST, SUITE 400, CHARLESTON, WV 25301-1842
(304) 344-3551
(304) 342-6927

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1716
WV
2251N0400X
Neurology Physical Therapist
1716
WV
2251X0800X
Orthopedic Physical Therapist
1716
WV

Other

Enumeration date
03/10/2011
Last updated
03/21/2011
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