Individual
CAROL ANN LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
24300 CHAGRIN BLVD STE 300A, BEACHWOOD, OH 44122-5629
(216) 763-1806
Mailing address
2330 EUCLID HEIGHTS BLVD APT 204, CLEVELAND HEIGHTS, OH 44106-2735
(216) 763-1806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028740
—
OH
Enumeration date
03/31/2011
Last updated
03/13/2019
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