Leslie K Mckibben Rpt Assoc

NPI #1497841621 in Melbourne, Florida

Provider Information

NPI Number
1497841621
Entity Type
Organization
Organization Name
Leslie K Mckibben Rpt Assoc
Primary Specialty
Physical Therapist
Enumeration Date
Oct 5, 2006
Last Updated
Apr 23, 2008

Practice Location

Address
4640 WHIPPLE HOLLOW RD
State
Florida
ZIP Code
32934-7661
Phone
(321) 259-5592

Authorized Official

Name
MS. LESLIE K MCKIBBEN, PT
Title
PRESIDENT
Phone
(321) 259-5592

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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