Individual
MISS ANNETTE P LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3175 SAINT ROSE PKWY, STE 331, HENDERSON, NV 89052-3506
(702) 474-7212
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3102
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT 287010
BLUE SHIELD
CA
Enumeration date
06/01/2005
Last updated
09/21/2016
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