Ernest Richard Ledesma JR., PT

NPI #1063589042 in Pooler, Georgia

Provider Information

NPI Number: 1063589042
Entity Type: Individual
Name: Ernest Richard Ledesma JR., PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Nov 29, 2006
Last Updated: Oct 5, 2010

Practice Location

Address: 124 POST HOUSE TRL
City: Pooler
State: Georgia
ZIP Code: 31322-9624
Phone: (912) 450-1468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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