Leslie Ann Wallace OT

NPI 1750444956 - Occupational Therapist - 225X00000X

NPI Details
NPI 1750444956
Gender Female
Enumeration Date 12/18/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
43922 CANAL RD
RONAN MT, 59864-9192, US
Phone (406) 676-2912
Fax (406) 676-2912
Business Location
43922 CANAL RD
RONAN MT, 59864-9192, US
Phone (406) 676-2912
Fax (406) 676-2912
Toxanomy
Taxonomy Code 225X00000X
License State Montana
License Number 186
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According to our database, Ms. Leslie Ann Wallace OT NPI is 1750444956, taxonomy code is 225X00000X and license number is 186, license state is located at Montana. Leslie Ann Wallace OT physically located at 43922 Canal Rd, Ronan MT, 59864-9192. NPI Number Leslie Ann Wallace OT has the Individual type.

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1750444956 NPI number is provided on an as is basis without warranty of any kind. 1750444956 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Ann Wallace OT are for informational purposes only.