Provider Demographics
NPI:1699851113
Name:TANSINSIN, LEONIDA L (PT)
Entity Type:Individual
Prefix:MISS
First Name:LEONIDA
Middle Name:L
Last Name:TANSINSIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARIA LEONIDA
Other - Middle Name:L
Other - Last Name:TANSINSIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4551 GATEWAY PARK BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2447
Mailing Address - Country:US
Mailing Address - Phone:916-419-6054
Mailing Address - Fax:916-419-6066
Practice Address - Street 1:700 LILLY RD NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5115
Practice Address - Country:US
Practice Address - Phone:360-923-7000
Practice Address - Fax:360-923-7089
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT32698225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist