Revilla, Leslie

Revilla, Leslie is an individual health care provider with primary practice located at 4500 S Lancaster Rd , Dallas TX 75216-7167. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Revilla, Leslie can be contacted via phone (214) 742-8387.

Contact Information

Primary practice address
4500 S Lancaster Rd Dallas TX 75216-7167
Phone: (214) 742-8387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1417495805
LBN Legal business name Revilla, Leslie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2017
Last updated Feb 6th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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