Individual
MRS. LESLIE D WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
158 LANGSTON DR, REEDS SPRING, MO 65737-8236
(417) 272-1922
Mailing address
276 FOUNTAIN LN, KIMBERLING CITY, MO 65686-9356
(417) 272-1922
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2006022463
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006023463
MO OCCUPATIONAL THERAPY ASSISTANT
MO
Enumeration date
07/02/2008
Last updated
07/02/2008
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