Individual
LEOBARDO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12047 STEWARTON DR, PORTER RANCH, CA 91326-1156
(818) 640-4039
(818) 640-4039
Mailing address
12047 STEWARTON DR, PORTER RANCH, CA 91326-1156
(818) 640-4039
(818) 640-4039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5374
CA
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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