Individual
LESLIE WINSTON PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
11541 DEAL RD, NORTH FORT MYERS, FL 33917-5831
(239) 543-1114
Mailing address
11541 DEAL RD, NORTH FORT MYERS, FL 33917-5831
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13736
FL
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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