Healthcare Provider Details

I. General information

NPI: 1548353758
Provider Name (Legal Business Name): LESLIE MCLACHLAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E 18TH AVE STE 130
DENVER CO
80203-1493
US

IV. Provider business mailing address

PO BOX 876
AURORA CO
80040-0876
US

V. Phone/Fax

Practice location:
  • Phone: 303-315-1286
  • Fax:
Mailing address:
  • Phone: 303-493-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number7661
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: