Individual
MRS. LESLIE M SIZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS OTRL
Contact information
Practice address
376 MANCHESTER SQUARE, MANCHESTER, KY 40962-9998
(606) 598-7673
(606) 598-7948
Mailing address
1063 COLONY ROAD, MANCHESTER, KY 40962-9998
(606) 598-6309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R0334
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0785001
—
KY
Enumeration date
11/30/2006
Last updated
07/08/2007
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