Individual
HEATHER ANN LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1541 OLD BAYSHORE HWY, BURLINGAME, CA 94010-1602
(650) 638-9142
Mailing address
1541 OLD BAYSHORE HWY, BURLINGAME, CA 94010-1602
(559) 696-2560
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
292498
CA
Other
Enumeration date
01/15/2017
Last updated
06/09/2021
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