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Individual
LEONARDO CERVANTES
Active
Individual
LEONARDO CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12041995
DOB
—
Enumeration date
10/28/2021
Last updated
05/11/2026
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