Individual
LESLIE ROBIN WIKHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4100 NORMAL ST, SAN DIEGO, CA 92103-2653
(619) 725-5501
Mailing address
7435 GLOAMING AVE, SAN DIEGO, CA 92114-4630
(619) 725-5501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1688
CA
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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