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NPI Code Detail

MEDICARE: MR. LESLIE CHAD ASHER PT

MEDICARE:  MR. LESLIE CHAD ASHER  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist05021LA

General Provider Information

NPI Number : 1164676656
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LESLIE CHAD ASHER PT
Provider Business Mailing Address
First Line : 1707 WARREN ST
Second Line : SUITE B
City : WINNSBORO
State : LA
Zip : 71295-2939
Country : US
Telephone Number : 318-503-9789
Fax Number :
Provider Business Practice Location Address
First Line : 1707 WARREN ST
Second Line : SUITE B
City : WINNSBORO
State : LA
Zip : 71295-2939
Country : US
Telephone Number : 318-503-9789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2008
Last Update Date : 11/10/2008

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Directions to “ MR. LESLIE CHAD ASHER PT” Practice Location

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