Individual
LESLIE J RAKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3938 S TAMIAMI TRL, SARASOTA, FL 34231-3622
(941) 366-0011
(941) 957-0033
Mailing address
9668 HORNE LN, ESTERO, FL 33928-6280
(239) 495-1857
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 10592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z098D
BLUE CROSS BLUE SHIELD FL
—
Enumeration date
01/16/2006
Last updated
07/08/2007
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