Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leslie Mitcham

Individual provider Rehabilitation Practitioner · NPI 1124576087

Leslie Mitcham is a Rehabilitation Practitioner in Roseville, California. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

1540 Eureka Rd Ste 100
Roseville, CA 95661-3056
Phone: (323) 295-4555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1124576087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2016
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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