Individual
LESLIE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(214) 295-5374
Mailing address
4218 GILBERT AVE APT C, DALLAS, TX 75219-2974
(214) 505-9274
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
119671
TX
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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