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Individual

LESLIE A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3000 NORTHWOODS PKWY, SUITE 105, NORCROSS, GA 30071-4708
(866) 518-1750
(866) 600-4001
Mailing address
3000 NORTHWOODS PKWY, SUITE 105, NORCROSS, GA 30071-4708
(866) 518-1750
(866) 600-4001

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109747
TX

Other

Enumeration date
02/15/2011
Last updated
02/15/2011
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