Individual provider · Type 1 NPI

Leslie Mitcham

Rehabilitation Practitioner · Roseville, CA

NPI number 1124576087 Active

Practice location

1540 Eureka Rd Ste 100
Roseville, CA 95661-3056

Other practice locations

  • 1540 Eureka Rd Ste 100, Roseville, CA 95661-3056 · (323) 295-4555

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

16 other providers at this address

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About NPI 1124576087

Leslie Mitcham's National Provider Identifier is 1124576087, issued on Sep 20, 2016. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Roseville, CA. The record was last updated on Aug 12, 2026.