Individual
LESLIE HARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26143 243RD PL SE, MAPLE VALLEY, WA 98038-7120
(253) 653-2538
Mailing address
26143 243RD PL SE, MAPLE VALLEY, WA 98038-7120
(253) 653-2538
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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