Individual
MRS. WENDY JEAN LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
76 FIREMENS WAY, POUGHKEEPSIE, NY 12603-6519
(845) 877-6821
Mailing address
6 BIRCH LN, WEST CORNWALL, CT 06796-1029
(860) 672-6995
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0011241
NY
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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