Individual
BRITTANY LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
25652 OLD TRABUCO RD, LAKE FOREST, CA 92630-2776
(949) 380-9380
(949) 380-1499
Mailing address
25652 OLD TRABUCO RD, LAKE FOREST, CA 92630-2776
(949) 380-9380
(949) 380-1499
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10261
CA
Other
Enumeration date
01/30/2014
Last updated
04/14/2014
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