Individual
MISS LESLIE SWEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2837 E DUPONT RD, FORT WAYNE, IN 46825-1668
(260) 497-0328
(260) 497-0904
Mailing address
10637 SEILER RD, APT 409, NEW HAVEN, IN 46774-9357
(260) 385-7484
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001690A
IN
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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