Individual
LESLIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
540 CALLIOPSIS ST, LITTLE ELM, TX 75068-4967
(615) 578-4371
Mailing address
540 CALLIOPSIS ST, LITTLE ELM, TX 75068-4967
(615) 578-4371
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212712
TX
390200000X
Student in an Organized Health Care Education/Training Program
212712
TX
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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