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General NPI Number Information
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NPI Number | 1003730433
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Entity Type | Individual
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Provider Name | LESLEY MARIE FORTI OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 46 N JACKSON ST
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City | SANDUSKY
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State | MI
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Zip | 48471-1132
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Country | US
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Telephone | 810-648-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 1796 S SUMMERS RD
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City | IMLAY CITY
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State | MI
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Zip | 48444-9787
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Country | US
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Telephone | 810-531-1420
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 5201005425
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License Number State | MI
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