Individual
LESLIE LYNN HOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8100 BETH NELSON DR, FAIRLAWN, VA 24141-9000
(540) 230-6479
Mailing address
202 N WASHINGTON AVE, PULASKI, VA 24301-5022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001539
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54-6001433
PULASKI COUNTY PUBLIC SCHOOLS
VA
Enumeration date
12/19/2017
Last updated
12/19/2017
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