Individual
LESLEY ANNE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4050 AIRPORT CENTER DR, SUITE D, PALM SPRINGS, CA 92264-1216
(760) 325-5950
Mailing address
4050 AIRPORT CENTER DRIVE, SUITE D, PALM SPRINGS, CA 92264
(760) 325-5950
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8718
CA
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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