| NPI | 1134685605 |
|---|---|
| Former Name | LESA COLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT296228) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296228) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2022-03-18 |