Individual
GINA K LESLIE-STRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, ATP
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
104538
TX
247200000X
Other Technician
Primary
ATP2727
TX
Other
Enumeration date
08/08/2006
Last updated
08/03/2011
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