LESLEY DIANE FAIN

TAHLEQUAH, OK
NPI1578008322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OK  2065)
Enumeration Date2017-01-04
Last Update Date2017-01-04
Business Address
-- LESLEY DIANE FAIN OTR/L
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
Mailing Address
-- LESLEY DIANE FAIN OTR/L
16959 W 737 RD
TAHLEQUAH, OK 74464-1069
Phone number: 918-316-0538
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