Individual
MRS. LESLIE MICHELLLE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
810 W MARION ST, MT. GILEAD, OH 43338
(419) 946-1980
Mailing address
810 W MARION ST, MT. GILEAD, OH 43338
(419) 946-1980
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03189
OH
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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