Individual
MRS. LESLIE REAVER HENRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
695 E MAIN ST, GALLATIN, TN 37066-2472
(615) 451-5200
(615) 451-6563
Mailing address
695 EAST MAIN ST, GALLATIN, TN 37066-2472
(615) 451-5200
(615) 451-6563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 2107 TN
TN
Other
Enumeration date
05/18/2007
Last updated
06/20/2012
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