Individual
LALITA D POURCHOT-LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17763 NW 105TH TER, ALACHUA, FL 32615-5610
(386) 418-3747
Mailing address
17763 NW 105TH TER, ALACHUA, FL 32615-5610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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