Provider Demographics
NPI:1487846937
Name:BROOKS, LESLIE D (PT)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:D
Last Name:BROOKS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 OFFICE PARK DR STE 150
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2400
Mailing Address - Country:US
Mailing Address - Phone:205-278-2250
Mailing Address - Fax:205-278-2299
Practice Address - Street 1:201 OFFICE PARK DR STE 150
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2400
Practice Address - Country:US
Practice Address - Phone:205-278-2250
Practice Address - Fax:205-278-2299
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3512225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALPTH3512OtherSTATE LICENSE