Individual
LESLIE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
111 PREAKNESS DR, CLAYTON, NC 27527-6284
(919) 634-7690
(919) 550-9628
Mailing address
111 PREAKNESS DR, CLAYTON, NC 27527-6284
(919) 634-7690
(919) 550-9628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2364
NC
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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