Individual
LESLIE PANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4707 SCHLEY AVE UNIT 595F, BRADDOCK HEIGHTS, MD 21714-7524
(240) 490-8093
(240) 490-8095
Mailing address
9722 MOUNT TABOR RD, MIDDLETOWN, MD 21769-9523
(240) 490-8093
(240) 490-8095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21752
MD
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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