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NPI Code Detail

MEDICARE: LESLIE OKESON LAT, ATC

MEDICARE:   LESLIE  OKESON  LAT, ATC
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
12255R0406XBlind Rehabilitation Specialist/Technologist24-00147KS

General Provider Information

NPI Number : 1811902539
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE OKESON LAT, ATC
Provider Business Mailing Address
First Line : PO BOX 52
Second Line :
City : WESKAN
State : KS
Zip : 67762-0052
Country : US
Telephone Number : 620-272-2935
Fax Number :
Provider Business Practice Location Address
First Line : 101 E FULTON ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5455
Country : US
Telephone Number : 620-272-2935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 07/08/2007

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Directions to “ LESLIE OKESON LAT, ATC” Practice Location

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