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Leslie B. Clark, P.T.

Physical Therapist in Greenville, NC. Individual provider (NPI-1).

NPI number1306991856
StatusActive
Last updated in NPPESJan 22, 2009

Details

NPI
1306991856
Entity type
Individual (NPI-1)
Name
Leslie B. Clark
Credential
P.T.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 24, 2007
Last updated
Jan 22, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist9482NCYes

Practice location

2430 Charles Blvd
Greenville, NC 27858-5924

Phone 252-215-9119 · Fax 252-215-9121

Mailing address

1600 Oaklawn Ave
Greenville, NC 27858-4625

Phone 252-353-0176

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