Individual
LESLIE HUMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9500 MICRON AVE, SUITE 106, SACRAMENTO, CA 95827-2617
(916) 362-7962
Mailing address
4981 TORONTO WAY, SACRAMENTO, CA 95820-6238
(218) 393-7724
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
08744
OR
225200000X
Physical Therapy Assistant
A1465
MN
225200000X
Physical Therapy Assistant
Primary
AT9674
CA
Other
Enumeration date
08/01/2011
Last updated
08/15/2013
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