Individual
DR. LESLY WILSON JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, OTR/L
Contact information
Practice address
135 GARDEN BROOKE, IRMO, SC 29063
(803) 608-2044
Mailing address
135 GARDEN BROOKE, IRMO, SC 29063
(803) 608-2044
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1427
SC
Other
Enumeration date
10/28/2008
Last updated
09/18/2015
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