Leslie Buxton, OTR

Individual provider Active NPI Occupational Therapist · Jasper, IN

NPI 1699598607 · NPPES record last updated Nov 7, 2024

Key facts

NPI
1699598607
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
3100134A (IN)
Practice address
800 W 9TH St
Jasper, IN 47546-2516
Phone
(812) 996-5109
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3100134AINMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3100134A IN Yes

Addresses

Primary practice location

800 W 9TH St
Jasper, IN 47546-2516

Mailing address

12408 N County Road 100 W
Gentryville, IN 47537-9779
Phone (812) 686-8302

Other providers in Jasper, IN

All providers in Jasper, IN · Occupational Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.