Individual
LESLIE ANN CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Mailing address
5046 AIRLINE RD, LONGVIEW, TX 75605-5526
(903) 445-2963
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217756
TX
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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