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Leslie Ann Showalter
Rehabilitation Practitioner in Reseda, California
NPI 1760089122

Leslie Ann Showalter is a Rehabilitation Practitioner based in Reseda, CA. Leslie Ann Showalter practices in Reseda, CA. The NPI Number for Leslie Ann Showalter is 1760089122 and holds a License No. (California).

The current practice location address for Leslie Ann Showalter is 6720 Tampa Ave, Reseda, CA and can be reached out via phone at 818-781-1073.

Location: 6720 Tampa Ave, Reseda, CA, 91335-5014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760089122
Provider Name
Leslie Ann Showalter
Credential
Provider Entity Type
Individual
Gender
Female
Address
6720 Tampa Ave, Reseda, CA, 91335-5014
Phone Number
818-781-1073
Fax Number
Provider Enumeration Date
10/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5077190275789739 01 CA CALFRESH
909258752 01 CA BLUE SHIELD OF CALIFORNIA
94486299F 05 CA
institution
Provider Business Practice Location Address Details
Address
6720 Tampa Ave
City
Reseda
State
California
Zip
91335-5014
Phone Number
818-781-1073
Fax Number
person
Provider Business Mailing Address Details
Address
6720 Tampa Ave
City
Reseda
State
California
Zip
91335-5014
Phone Number
818-781-1073
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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