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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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