Most Relevant Information
Provider Data
| NPI Number: | 1003647108 |
| Provider Name: | LESLIE YARELI HUMPHREY DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 306653 |
Most Important Dates
| Enumeration Date: | 08/09/2024 |
| Last Updated: | 08/09/2024 |
Provider Practice Location
78078 COUNTRY CLUB DR STE 205
BERMUDA DUNES
CA
922038175
Practice Location Phone/Fax
| Phone: | 7603459934 |
| Fax: |
Provider Mailing Location
32205 AURORA VISTA RD APT A
CATHEDRAL CITY
CA
922349233
Provider Mailing Phone/Fax
| Phone: | 7606417249 |
| Fax: |