Individual
LESLIE BROOKE SULAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 BELINDA PKWY, MOUNT JULIET, TN 37122-8601
(615) 418-1372
Mailing address
3571 BLACKBERRY LN, LEBANON, TN 37087-8262
(615) 418-1372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7921
TN
Other
Enumeration date
03/08/2024
Last updated
07/11/2024
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