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Leslie Gravina, PT
Pediatric Physical Therapist in Dallas, Georgia
NPI 1467648030

Leslie Gravina is a Pediatric Physical Therapist based in Dallas, GA and is specialized in Pediatrics. Leslie Gravina practices in Dallas, GA and has the professional credentials of PT. The NPI Number for Leslie Gravina is 1467648030 and holds a License No. PT009024 (Georgia).

The current practice location address for Leslie Gravina is 3044 Due West Rd, Dallas, GA and can be reached out via phone at 770-443-9672 and via fax at 770-505-3595.

Location: 3044 Due West Rd, Dallas, GA, 30157-2125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467648030
Provider Name
Leslie Gravina
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
3044 Due West Rd, Dallas, GA, 30157-2125
Phone Number
770-443-9672
Fax Number
770-505-3595
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3044 Due West Rd
City
Dallas
State
Georgia
Zip
30157-2125
Phone Number
770-443-9672
Fax Number
770-505-3595
person
Provider Business Mailing Address Details
Address
3044 Due West Rd
City
Dallas
State
Georgia
Zip
30157-2125
Phone Number
770-443-9672
Fax Number
770-505-3595
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT009024 (Georgia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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