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Individual

MISS LESLIE R MCGINNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL CHT

Contact information

Practice address
137 WINCKLES STREET, ELYRIA, OH 44035
(440) 366-5993
(440) 366-5313
Mailing address
137 WINCKLES STREET, ELYRIA, OH 44035
(440) 366-5993
(440) 366-5313

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00540
OH
225XH1200X
Hand Occupational Therapist
Primary
9410000042

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000132804
ANTHEM BCBS
OH
05
2167462
OH
01
341490517039
CARE SOURCE
OH
01
654140
AETNA
OH
Enumeration date
04/08/2006
Last updated
09/11/2025
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