Individual
MRS. LESLIE GUILLORY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
201 WOODLAND DR, BROUSSARD, LA 70518-3442
(337) 234-7018
(337) 232-3891
Mailing address
201 WOODLAND DR, BROUSSARD, LA 70518-3442
(337) 234-7018
(337) 232-3891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200680
LA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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