Provider Demographics
NPI:1477502623
Name:STRUBBE, LESLIE GEAN (PT)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:GEAN
Last Name:STRUBBE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10694 PASO FINO DR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33467-8018
Mailing Address - Country:US
Mailing Address - Phone:561-204-6593
Mailing Address - Fax:561-204-6592
Practice Address - Street 1:22601 CAMINO DEL MAR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-6516
Practice Address - Country:US
Practice Address - Phone:561-393-6590
Practice Address - Fax:561-393-6592
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT200432251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics