Individual
LESLIE M YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4517 SOUTHLAKE PKWY, BIRMINGHAM, AL 35244-3280
(205) 985-4111
(205) 985-4326
Mailing address
4517 SOUTHLAKE PKWY, BIRMINGHAM, AL 35244-3280
(205) 985-4111
(205) 985-4326
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1737
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51528045
BLUE CROSS
AL
Enumeration date
06/15/2006
Last updated
05/22/2023
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