Individual
MICHELE LYNN LEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, RN
Contact information
Practice address
2793 CERES AVE, CHICO, CA 95973-7819
(530) 521-4032
Mailing address
2793 CERES AVE, CHICO, CA 95973-7819
(530) 521-4032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 4104
CA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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