LESLIE WAYNE MIDDLETON

JENNINGS, LA
NPI1447804182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: LA  OTA.Z20608)
Enumeration Date2019-07-31
Last Update Date2019-07-31
Business Address
LESLIE WAYNE MIDDLETON COTA
619 N MAIN ST
JENNINGS, LA 70546-5347
Phone number: 337-824-8287
Mailing Address
LESLIE WAYNE MIDDLETON COTA
2002 JOHNSON ST STE 100
JENNINGS, LA 70546-3640
Phone number: 337-824-4547
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