Leslie Lynn Houde, OT
Individual provider Active NPI Occupational Therapist · Fairlawn, VA
NPI 1891201455 · NPPES record last updated Dec 19, 2017
Key facts
- NPI
- 1891201455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119001539 (VA)
- Practice address
- 8100 Beth Nelson Dr
Fairlawn, VA 24141-9000 - Phone
- (540) 230-6479
- NPI assigned
- Dec 19, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0119001539 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119001539 | VA | Yes |
Addresses
Primary practice location
8100 Beth Nelson Dr
Fairlawn, VA 24141-9000
Mailing address
202 N Washington Ave
Pulaski, VA 24301-5022
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54-6001433 | Other | VA | PULASKI COUNTY PUBLIC SCHOOLS |
Other providers in Fairlawn, VA
- Robert Ferrari
- Cheryl L Gillespie
- Michael Gore
- Ryan Green
- Robert Graham Hoskins
- David Hudson
- Infinity Eye Care, PLLC
- Whitney Nicole Keen
- Kroger Limited Partnership I
- Yancey Evan Lockhart
All providers in Fairlawn, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.