Prom, Leslie

Prom, Leslie is an individual health care provider with primary practice located at 1015 W 47Th St , Norfolk VA 23529-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Prom, Leslie can be contacted via phone (757) 683-7041.

Contact Information

Primary practice address
1015 W 47Th St Norfolk VA 23529-0001
Phone: (757) 683-7041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305204676 Virginia

Profile Details

NPI number 1821461682
LBN Legal business name Prom, Leslie
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2015
Last updated Nov 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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