Individual
LESLEY GORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N JIM WRIGHT FWY # 2, WHITE SETTLEMENT, TX 76108-1068
(817) 900-8441
Mailing address
800 N JIM WRIGHT FWY # 2, WHITE SETTLEMENT, TX 76108-1068
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211709
TX
224Z00000X
Occupational Therapy Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942781760
—
TX
Enumeration date
08/29/2018
Last updated
06/03/2019
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