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Individual

MRS. LESLEY JO PING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
208 US-180 W, SILVER CITY, NM 88061
(575) 956-6370
Mailing address
PO BOX 474, TYRONE, NM 88065-0474
(575) 534-8545

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1875
NM
225X00000X
Occupational Therapist
Primary
OT3677
NM
225XP0200X
Pediatric Occupational Therapist
OT3677
NM

Other

Enumeration date
02/24/2009
Last updated
02/28/2024
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