Individual
LESLEY PHILLIPS
Active
Individual
LESLEY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002694
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119002694
VA LICENSE
VA
01
—
124463
TX LICENSURE
TX
01
—
OT25083
FL LICENSE
FL
Enumeration date
06/02/2006
Last updated
09/10/2024
Update your record
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