MS. Brenda Lee Lestock, AT/L

NPI #1396162079 in Prescott, Arizona

Provider Information

NPI Number
1396162079
Entity Type
Individual
Name
MS. Brenda Lee Lestock, AT/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Medicine & Rehabilitation
Credential
AT/L
Enumeration Date
Mar 19, 2014
Last Updated
Mar 4, 2018

Practice Location

Address
1755 RUSTIC TIMBERS LN APT 205
State
Arizona
ZIP Code
86303-6902
Phone
(330) 903-1018

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Physical Medicine & Rehabilitation

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