Individual
MS. LESLIE J WALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
47 OVERHILL RD, SUMMIT, NJ 07901-4126
(908) 672-1271
Mailing address
47 OVERHILL RD, SUMMIT, NJ 07901-4126
(908) 672-1271
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00089700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00089700
STATE OF NEW JERSEY DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
07/29/2013
Last updated
07/29/2013
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