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Individual
JOHN LESLIE
Active
Individual
JOHN LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.012675
IL
225X00000X
Occupational Therapist
Primary
8021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100272126
—
WI
Enumeration date
11/14/2018
Last updated
07/23/2024
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