Individual
LESLEY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 N MONTEREY ST, APT.232, ALHAMBRA, CA 91801-1565
(909) 496-0728
Mailing address
930 N MONTEREY ST, APT.232, ALHAMBRA, CA 91801-1565
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8003
CA
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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