# LESLEY RUBY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114081569
- **Gender:** F
- **Credential:** OT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225000000X | Orthotic Fitter | OT-242 | ID | — |
| 225X00000X | Occupational Therapist | OT-242 | ID | Yes |
| 332BC3200X | Customized Equipment (DME) | OT-242 | ID | — |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 09/24/2024