Individual
LESLIE ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
66 URB CATALINA, BARCELONETA, PR 00617
(407) 587-5651
Mailing address
4093 LONGWORTH LOOP, KISSIMMEE, FL 34744-9173
(407) 587-5651
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA 11001
FL
225X00000X
Occupational Therapist
Primary
1038
PR
Other
Enumeration date
07/16/2014
Last updated
12/22/2022
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