Individual
LESLIE BURLEIGH WOLFENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
36 HAYNES ST, MANCHESTER, CT 06040-4105
(860) 646-1222
Mailing address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000806
CT
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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