Individual
MRS. LESLIE ANNE MACLAGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
34463
CA
225100000X
Physical Therapist
Primary
5820
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00796050
RAILROAD MEDICARE
OR
Enumeration date
02/07/2008
Last updated
03/24/2010
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