Individual
DR. CHRISTINA LEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
532 SONOMA AVE APT A, SANTA ROSA, CA 95401-8542
(707) 217-9157
Mailing address
532 SONOMA AVE APT A, SANTA ROSA, CA 95401-8542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41410
CA
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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