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Individual
LESLIE TAYLOR
Active
Individual
LESLIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
77196
TX
225X00000X
Occupational Therapist
1134
HI
225XP0019X
Physical Rehabilitation Occupational Therapist
1134
HI
225XP0200X
Pediatric Occupational Therapist
1134
HI
Other
Enumeration date
02/03/2012
Last updated
07/21/2022
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