Individual
CELESTE LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
14236 CLASSIQUE WAY, SAN DIEGO, CA 92129-4329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39242
CA
Other
Enumeration date
10/08/2012
Last updated
12/08/2021
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