Provider Demographics
NPI:1467752683
Name:SANCHEZ, LESLIE (CMT)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 MARKET ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-5300
Mailing Address - Country:US
Mailing Address - Phone:201-712-0009
Mailing Address - Fax:201-712-0040
Practice Address - Street 1:383 MARKET ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5300
Practice Address - Country:US
Practice Address - Phone:201-712-0009
Practice Address - Fax:201-712-0040
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist