Individual
LESLIE A JURADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1803 EBENEZER RD, ROCK HILL, SC 29732-1189
(803) 620-9702
(803) 620-9722
Mailing address
1803 EBENEZER RD, ROCK HILL, SC 29732-1189
(803) 620-9702
(803) 620-9722
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2452
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1347
—
SC
Enumeration date
04/01/2008
Last updated
04/10/2020
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