Individual
MS. LESLEY MOSS PIRKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3840 BON REA DR, CHARLOTTE, NC 28226-3150
(704) 807-6510
(704) 568-0453
Mailing address
3840 BON REA DR, CHARLOTTE, NC 28226-3150
(704) 807-6510
(704) 568-0453
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7367797
—
NC
Enumeration date
03/16/2007
Last updated
07/09/2007
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