Individual
MRS. LESLIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, CHT
Contact information
Practice address
10313 CHAMPION FARMS DR, LOUISVILLE, KY 40241-6129
(502) 425-9992
(502) 425-9095
Mailing address
151 N EAGLE CREEK DR, SUITE 400, LEXINGTON, KY 40509-1889
(859) 264-8866
(859) 264-1167
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
R1572
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000600605
BCBS FOR LHT
KY
Enumeration date
11/20/2006
Last updated
05/14/2009
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