Individual
LESLIE BARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
131 LACKAWANNA RD, LEXINGTON, KY 40503-1939
(859) 475-7204
Mailing address
131 LACKAWANNA RD, LEXINGTON, KY 40503-1939
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
252034
KY
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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