Individual
LEILA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
626 N ALAFAYA TRL STE 209, ORLANDO, FL 32828-4353
(407) 658-4637
Mailing address
4636 N FRIDAY CIR, COCOA, FL 32926-3402
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA34142
FL
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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