Provider Demographics
NPI:1518156306
Name:COLE, LESLIE ANN (COF)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:ANN
Last Name:COLE
Suffix:
Gender:F
Credentials:COF
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4479 STONERIDGE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8448
Mailing Address - Country:US
Mailing Address - Phone:925-484-6400
Mailing Address - Fax:925-484-6497
Practice Address - Street 1:4479 STONERIDGE DR
Practice Address - Street 2:SUITE A
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8448
Practice Address - Country:US
Practice Address - Phone:925-484-6400
Practice Address - Fax:925-484-6497
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter