Individual
CAMERON GAVIN LESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1058 HOLLAND AVE, PHILADELPHIA, MS 39350-9121
(601) 650-9111
(601) 650-1972
Mailing address
PO BOX 370, PHILADELPHIA, MS 39350-0370
(601) 650-9111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5901
MS
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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