Individual
KAELEIGH HEPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7220 AVENIDA ENCINAS STE 125, CARLSBAD, CA 92011-4689
(760) 603-9457
Mailing address
1283 VIA LUCERO, OCEANSIDE, CA 92056-4260
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA49121
PTA LICENSE
CA
Enumeration date
05/06/2020
Last updated
05/06/2020
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