| Doctor Name: | LESLIE A WEATHERHEAD |
| NPI Number: | 1396850897 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT22623 |
| Business Practice Address: | 6604 Roberta Rd Harrisburg, NC - 280759532 |
| Business Phone Number: | 7044551172 |
| Business Fax Number: | 7044400166 |
| Mailing Address: | 236 Le Phillip Ct., Suite A, CONCORD |
| State: | NC |
| Postal Code: | 280251917 |
| Phone Number: | 7047074282 |
| Fax Number: | 7047954389 |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 11/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT22623 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |