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LESLIE ALLEN

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1528659380

Individual Registrant:
 LESLIE  ALLEN 
Gender: F
Sole Proprietor

Location and contact information for practice:
7699 161ST RD  LIVE OAK, FL 32060-7635 US
Tel: 386-867-0170  Fax: --

Contact information for business:
7699 161ST RD  LIVE OAK, FL 32060-7635 US
Tel: 386-867-0170  Fax: --

Registration Information:
NPI: 1528659380
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
FLOTA15549

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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