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NPI Code Detail

MEDICARE: MRS. LESLIE PETERS CASALE OTR/L

MEDICARE: MRS. LESLIE PETERS CASALE 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
1225XP0019XPhysical Rehabilitation Occupational TherapistOC006973LPA
2225X00000XOccupational TherapistOC-006973-LPA

General Provider Information

NPI Number : 1629221353
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LESLIE PETERS CASALE OTR/L
Provider Business Mailing Address
First Line : 21 KINGS POINTE
Second Line :
City : LITITZ
State : PA
Zip : 17543-9234
Country : US
Telephone Number : 484-883-7313
Fax Number :
Provider Business Practice Location Address
First Line : 3001 LITITZ PIKE
Second Line :
City : LITITZ
State : PA
Zip : 17543-9414
Country : US
Telephone Number : 717-569-2657
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2008
Last Update Date : 03/01/2024

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