Individual
MRS. LESLIE N GREENHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1901 WHIPPORWILL LN, KILGORE, TX 75662-3880
(903) 983-7775
Mailing address
302 JOHNSON DR, HENDERSON, TX 75654-4516
(903) 657-5321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
210659
TX
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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