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NPI Code Detail

MEDICARE: LESLIE ANN R MUNOZ PT, OCS

MEDICARE: LESLIE ANN R MUNOZ PT, OCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT28116CA

General Provider Information

NPI Number : 1578627428
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE ANN R MUNOZ PT, OCS
Provider Business Mailing Address
First Line : 10790 RANCHO BERNARDO RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-5705
Country : US
Telephone Number : 760-633-6507
Fax Number :
Provider Business Practice Location Address
First Line : 1092 N EL CAMINO REAL
Second Line :
City : ENCINITAS
State : CA
Zip : 92024-1367
Country : US
Telephone Number : 760-633-6507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 05/04/2023

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