IndividualActive
Leslie Revilla
NPI 1417495805 · Recreation Therapist · Dallas, TX
Provider details
- NPI number
- 1417495805
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone: (214) 742-8387
Approximate (ZIP-level) locationGet directions
Mailing address
1213 Warwick Dr
Mesquite, TX 75150-4332
Registry dates
- Enumerated
- 2017-02-06
- Last updated
- 2017-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.