Individual
MRS. LESLIE LEGER VANKERKHOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
353 NEW SHACKLE ISLAND RD STE 142C, HENDERSONVILLE, TN 37075-2487
(615) 826-4205
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Z12212
LA
225XH1200X
Hand Occupational Therapist
1469
OK
225XH1200X
Hand Occupational Therapist
Primary
4097
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1115860
—
LA
01
—
2314145
AETNA PROVIDER #
LA
01
—
721282530VA
HUMANA PROVIDER #
LA
Enumeration date
10/25/2005
Last updated
04/28/2025
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