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Ernest Richard Ledesma JR., PT
Specialist in Pooler, Georgia
NPI 1063589042

Ernest Richard Ledesma JR. is a Specialist based in Savannah, GA. Ernest Richard Ledesma JR. practices in Pooler, GA and has the professional credentials of PT. The NPI Number for Ernest Richard Ledesma JR. is 1063589042 and holds a License No. PT003700 (Georgia).

The current practice location address for Ernest Richard Ledesma JR. is 124 Post House Trl, Pooler, GA and can be reached out via phone at 912-450-1468 and via fax at 912-450-1470.

Location: 124 Post House Trl, Pooler, GA, 31406-1600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063589042
Provider Name
Ernest Richard Ledesma JR.
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
124 Post House Trl, Pooler, GA, 31406-1600
Phone Number
912-450-1468
Fax Number
912-450-1470
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
65BBBNL 01 GA MEDICARE INDIVIDUAL #
PT003700 01 GA STATE BOARD OF PT
institution
Provider Business Practice Location Address Details
Address
124 Post House Trl
City
Pooler
State
Georgia
Zip
31322-9624
Phone Number
912-450-1468
Fax Number
912-450-1470
person
Provider Business Mailing Address Details
Address
124 Post House Trl
City
Pooler
State
Georgia
Zip
31322-9624
Phone Number
912-450-1468
Fax Number
912-450-1470
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT003700 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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