Basic Information
| Provider Information | |||||||||
| NPI: | 1548532237 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TAYLOR | ||||||||
| FirstName: | LESLIE | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PT, PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3001 MERCER UNIVERSITY DR | ||||||||
| Address2: | SUITE 106, DAVIS BUILDING | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303414115 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5675476439 | ||||||||
| FaxNumber: | 6785476710 | ||||||||
| Practice Location | |||||||||
| Address1: | 3001 MERCER UNIVERSITY DR | ||||||||
| Address2: | SUITE 106, DAVIS BUILDING | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303414115 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5675476439 | ||||||||
| FaxNumber: | 6785476710 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2012 | ||||||||
| LastUpdateDate: | 01/27/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 001620 | GA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.