Provider Demographics
NPI:1922350438
Name:BLEI, LESLIE-ANNE
Entity Type:Individual
Prefix:DR
First Name:LESLIE-ANNE
Middle Name:
Last Name:BLEI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LONDON RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-2971
Mailing Address - Country:US
Mailing Address - Phone:908-330-9933
Mailing Address - Fax:
Practice Address - Street 1:8 LONDON RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08016-2971
Practice Address - Country:US
Practice Address - Phone:908-330-9933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-08
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01376500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist