Individual
TANYA LEIGH MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10585 SANTA MONICA BLVD, SUITE #100, LOS ANGELES, CA 90025-4921
(310) 663-5546
Mailing address
911 7TH ST, SUITE D, SANTA MONICA, CA 90403-2779
(310) 663-5546
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT32763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT32763
STATE LICENSE NUMBER
CA
Enumeration date
06/01/2006
Last updated
02/19/2013
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