Organization
CENTRAL COAST LYMPHEDEMA THERAPY
Active
Organization
CENTRAL COAST LYMPHEDEMA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLYN KEITH M.S., OTR/L (OWNER)
(805) 782-9300
Entity
Organization
Contact information
Practice address
1061 MURRAY AVE, SAN LUIS OBISPO, CA 93405-8807
(805) 782-9300
(805) 782-9700
Mailing address
1061 MURRAY AVE, SAN LUIS OBISPO, CA 93405-8807
(805) 782-9300
(805) 782-9700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/09/2006
Last updated
12/30/2008
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