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NPI Code Detail

MEDICARE: DR. LESLIE CHRIS HAIR PT, DSC

MEDICARE: DR. LESLIE CHRIS HAIR PT, DSC
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
12251X0800XOrthopedic Physical TherapistPTL6839CO

General Provider Information

NPI Number : 1942285200
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESLIE CHRIS HAIR PT, DSC
Provider Business Mailing Address
First Line : 695 KINKAID RD
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21402-1006
Country : US
Telephone Number : 757-251-8726
Fax Number :
Provider Business Practice Location Address
First Line : 695 KINKAID RD
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21402-1006
Country : US
Telephone Number : 410-295-1330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 08/02/2022

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