Individual
MRS. LESLIE MISCHELLE BIRGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
113 MILLERSBURG BRANCH RD, GLASGOW, KY 42141-8877
(270) 646-3307
Mailing address
113 MILLERSBURG BRANCH RD, GLASGOW, KY 42141-8877
(270) 646-3307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A3119
KY
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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