Individual
MS. LESLIE ANN CAPETILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
1717 W 10TH ST, AUSTIN, TX 78703-3907
(512) 804-3100
(512) 472-3103
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 445-7787
(512) 440-4059
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110773
TX
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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