Individual
MICHAEL LEDESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7100 MATLOCK RD, ARLINGTON, TX 76002-3402
(817) 466-2511
Mailing address
7100 MATLOCK RD, ARLINGTON, TX 76002-3402
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2135241
TX
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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