Individual
MRS. LESLIE ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4500 SOUTH LANCASTER ROAD, VAMC, DALLAS, TX 75216
(214) 857-1284
Mailing address
119 RANDY RD, WAXAHACHIE, TX 75165-6406
(972) 617-7072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109198
TX
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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