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Individual
LESLIE ASHLEY WIELAND
Active
Individual
LESLIE ASHLEY WIELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC, CMT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
308014
CA
2255A2300X
Athletic Trainer
2000030725
CA
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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