Individual
LESLEY MICHELLE O'BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
625 OVERLOOK DR, WINTER HAVEN, FL 33884-1626
(863) 318-1315
(863) 326-9432
Mailing address
626 GLENDALE ST, LAKELAND, FL 33803-4118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 10397
FL
Other
Enumeration date
03/14/2007
Last updated
09/07/2023
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