Individual
MS. MICHELE LEDESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 N. HARBOR BLVD., FULLERTON, CA 92835
(714) 871-9202
Mailing address
2800 N. HARBOR BLVD., FULLERTON, CA 92835
(714) 871-9202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5895
CA
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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