Individual
BRIDGETTE LESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
20 N WEST ST, FERNLEY, NV 89408-9799
(775) 575-5508
Mailing address
1550 WYOMING CT, RENO, NV 89503-2256
(775) 747-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0441
NV
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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