Individual
LESLIE WAGNER PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13937 US HIGHWAY 17, HAMPSTEAD, NC 28443-4041
(910) 566-0300
Mailing address
1058 KINGS LANDING RD, HAMPSTEAD, NC 28443-8385
(919) 522-3344
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8207
NC
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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