Individual
EVAN PIERCE LEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
427 WILSHIRE BLVD, SANTA MONICA, CA 90401-1409
(310) 656-8600
(310) 656-8606
Mailing address
2208 W 8TH ST APT 225, LOS ANGELES, CA 90057-5046
(424) 400-4671
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48024
CA
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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