Individual
LESLIE DIANE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
23 CEDAR RIDGE DR, SKOWHEGAN, ME 04976-4160
(207) 474-9686
Mailing address
15 MAPLE LN, CANAAN, ME 04924-3651
(207) 612-6375
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
492772
ME
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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