Doctor Name: | DR. LESLIE MARIE STOKLOSA |
NPI Number: | 1528257227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 3900 |
Business Practice Address: | 2994 Riverside Dr Mount Airy, NC - 270308222 |
Business Phone Number: | 3367839400 |
Business Fax Number: | 3367839406 |
Mailing Address: | 617 Porter St, MOUNT AIRY |
State: | NC |
Postal Code: | 270303572 |
Phone Number: | 7162002561 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2007 |
NPI Last Update Date: | 12/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |