Individual
LESLIE VAPOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3952 E COUNTY ROAD 700 S, CLAYTON, IN 46118-9468
(317) 519-0380
Mailing address
3952 E COUNTY ROAD 700 S, CLAYTON, IN 46118-9468
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004415A
IN
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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