Individual
LESLIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12660 HILLCREST RD APT 2206, DALLAS, TX 75230-2026
(254) 747-3394
Mailing address
925 S SEMORAN BLVD STE 108, WINTER PARK, FL 32792-5313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210467
TX
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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