Individual
LESLIE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
22 SOUTHPARK SHOPPING CTR, NASHVILLE, AR 71852-3307
(870) 845-5600
Mailing address
1726 KESSLER PKWY, DALLAS, TX 75208-2725
(903) 285-3572
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118980
TX
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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