Dedman, Leslie Brooke
Dedman, Leslie Brooke is an sole proprietor health care provider with primary practice located at 1425 Potts St , Malvern AR 72104-5291. 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. Dedman, Leslie Brooke can be contacted via phone (501) 337-7622.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2189 | Arkansas |
Profile Details
| NPI number | 1689727356 |
|---|---|
| LBN Legal business name | Dedman, Leslie Brooke |
| Credentials | MS, PT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689727356 | NPPES |
| Arkansas | Other | 5U211 | BLUE CROSS BLUESHIELD |
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