Individual
MRS. LESLIE ANN HILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
625 N. UNION STREET, KOKOMO, IN 46901-2907
(765) 454-9748
(765) 450-6664
Mailing address
3500 DEPAUW BOULEVARD, SUITE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 450-6664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010598A
IN
2251P0200X
Pediatric Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201039370
—
IN
Enumeration date
09/28/2011
Last updated
08/16/2017
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