Individual
DAVID J LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.T.A.
Contact information
Practice address
1411 CHESTNUT ST, PORT HURON, MI 48060-5721
(810) 333-5114
Mailing address
1411 CHESTNUT ST, PORT HURON, MI 48060-5721
(810) 333-5114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003417
MI
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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