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

Leslie Revilla

Individual provider Recreation Therapist · NPI 1417495805

Leslie Revilla is a Recreation Therapist in Dallas, Texas. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone: (214) 742-8387
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1417495805
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2017
Last updated in NPPESFebruary 6, 2017
Mailing address1213 Warwick Dr, Mesquite, TX 75150-4332

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