Individual
LESLIE MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
216 HIGH ST, ELLSWORTH, ME 04605-1742
(207) 619-1172
Mailing address
21 JOY LN, TRENTON, ME 04605-6326
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT476
ME
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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