Individual provider · Type 1 NPI

Leslie Robin Wikholm, PTA

Physical Therapy Assistant · San Diego, CA

NPI number 1609724830 Active

Practice location

4100 Normal St
San Diego, CA 92103-2653

Call (619) 725-5501 Map

Mailing address

7435 Gloaming Ave
San Diego, CA 92114-4630

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1688 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1609724830

Leslie Robin Wikholm, PTA's National Provider Identifier is 1609724830, issued on Mar 21, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Diego, CA. The record was last updated on Mar 21, 2026.