Individual
LESLIE E PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4219 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3410
(405) 644-5289
Mailing address
9129 PEPPERDINE, MIDWEST CITY, OK 73130-6248
(405) 455-5312
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
1100
OK
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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