Individual
LESLIE EDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
222 W EULALIA ST STE 101, GLENDALE, CA 91204-2850
(213) 212-4308
Mailing address
27913 BANEBERRY PL, VALENCIA, CA 91354-1215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49958
CA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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