Individual
JENNIFER VERNEE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20009 ROSEBANK WAY, HAGERSTOWN, MD 21742-6739
(240) 420-1857
Mailing address
17573 SHALE DR, HAGERSTOWN, MD 21740-2043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06806
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06806
OCCUPATIONAL THERAPY LICENSE
MD
Enumeration date
10/08/2009
Last updated
05/23/2024
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