Individual
TAYLOR WILLIAM LESAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2245 CAMINO VIDA ROBLE, CARLSBAD, CA 92011-1557
(760) 683-8959
Mailing address
1838 RED WILLOW WAY, OCEANSIDE, CA 92056-6454
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52589
CA
Other
Enumeration date
06/23/2023
Last updated
06/29/2023
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