Individual
LESLIE BAGHDADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3140 DEL VINA ST, PASADENA, CA 91107-2954
(626) 622-5272
Mailing address
3140 DEL VINA ST, PASADENA, CA 91107-2954
(626) 622-5272
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2503
CA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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