MEDICARE: MRS. LESLIE WEEKS HUNNEWELL M.S. OTR

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	064224	OH
2	225X00000X	Occupational Therapist	0141401	NY

General Provider Information

NPI Number	:	1437363710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LESLIE WEEKS HUNNEWELL M.S. OTR

Provider Business Mailing Address
First Line	:	2593 S KENDRICK CT
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-5538
Country	:	US
Telephone Number	:	207-751-3988
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 RIVER TER APT 4105
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10282-1128
Country	:	US
Telephone Number	:	207-751-3988
Fax Number	:

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

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	10/02/2019

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