Individual
LESLI FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1707 S COLORADO ST STE A, GREENVILLE, MS 38703-7275
(662) 335-8332
(662) 355-8852
Mailing address
1707 S COLORADO ST STE A, GREENVILLE, MS 38703-7275
(662) 335-8332
(662) 355-8852
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0169
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9015486
—
MS
Enumeration date
05/15/2007
Last updated
03/08/2017
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