| NPI | 1811205594 |
|---|---|
| Former Name | LESLIE R BORUCKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: OK OT 467) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: FL OT11614) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2016-05-05 |