MS. Leslie Ann Wallace, OT

NPI #1750444956 in Ronan, Montana

Provider Information

NPI Number
1750444956
Entity Type
Individual
Name
MS. Leslie Ann Wallace, OT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OT
Enumeration Date
Dec 18, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
43922 CANAL RD
City
Ronan
State
Montana
ZIP Code
59864-9192
Phone
(406) 676-2912

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Occupational Therapist - PediatricsPediatrics

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