Individual
AMY LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
30 TAVERNIER DR STE B, PONTE VEDRA, FL 32081-1270
(904) 404-2345
(904) 789-6295
Mailing address
12529 GENTLE KNOLL CT, JACKSONVILLE, FL 32258-4120
(904) 868-9764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21332
FL
Other
Enumeration date
11/12/2020
Last updated
06/10/2025
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