Individual
LESLIE A STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9111 MONROE RD STE 100, CHARLOTTE, NC 28270-2460
(704) 847-3911
Mailing address
2720 WET STONE WAY, CHARLOTTE, NC 28208-4162
(716) 481-6524
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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