Individual
LESLEE THEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 COUNTY FARM RD, BEDFORD, VA 24523-3131
(540) 682-6604
Mailing address
3793 SMITH MOUNTAIN LAKE PKWY, HUDDLESTON, VA 24104-3711
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001781
VA
Other
Enumeration date
03/27/2019
Last updated
10/29/2020
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