MEDICARE: MS. VALERIE KAY LESKOSKY MOT, OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT009883	OH
2	224Z00000X	Occupational Therapy Assistant

General Provider Information

NPI Number	:	1053603829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VALERIE KAY LESKOSKY MOT, OTR/L

Provider Business Mailing Address
First Line	:	214 WOODSIDE DR
Second Line	:
City	:	SALEM
State	:	OH
Zip	:	44460-7688
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1454 E MAPLE ST
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-2634
Country	:	US
Telephone Number	:	330-933-5735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	06/11/2024

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