Individual
LESLIE BUXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2516
(812) 996-5109
Mailing address
12408 N COUNTY ROAD 100 W, GENTRYVILLE, IN 47537-9779
(812) 686-8302
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3100134A
IN
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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