| Doctor Name: | MR. JAMES EDWARD LESLIE |
| NPI Number: | 1922174630 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 05006595A |
| Business Practice Address: | 1220 A N Wayne St Angola, IN - 46703 |
| Business Phone Number: | 2606242288 |
| Business Fax Number: | 2606242286 |
| Mailing Address: | 4251 Lahmeyer Rd, FORT WAYNE |
| State: | IN |
| Postal Code: | 468155676 |
| Phone Number: | 2604324700 |
| Fax Number: | 2604599262 |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 04/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05006595A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| 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 |