Individual
LESLIE MCGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
701 WILLOW ST, PESHTIGO, WI 54157-1165
(715) 582-0144
Mailing address
1900 E CALUMET ST, APT 1, APPLETON, WI 54915-4249
(715) 582-0144
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5357
WI
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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