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Individual

LESLIE ANN HARVELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
8040 E MILL PLAIN BLVD, VANCOUVER, WA 98664-2002
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
15745
CA
225X00000X
Occupational Therapist
Primary
OT60794368
WA
225XH1200X
Hand Occupational Therapist
346828
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2177601
WA
Enumeration date
11/25/2015
Last updated
06/16/2021
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