Leslie Mischelle Birge, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Glasgow, KY
NPI 1992992499 · NPPES record last updated Sep 27, 2007
Key facts
- NPI
- 1992992499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- KY-A3119 (KY)
- Practice address
- 113 Millersburg Branch Rd
Glasgow, KY 42141-8877 - Phone
- (270) 646-3307
- NPI assigned
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| KY-A3119 | KY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | KY-A3119 | KY | Yes |
Addresses
Primary practice location
113 Millersburg Branch Rd
Glasgow, KY 42141-8877
Mailing address
113 Millersburg Branch Rd
Glasgow, KY 42141-8877
Phone (270) 646-3307
Other providers in Glasgow, KY
- Tonya Renee Bennett
- Rodney Bentley
- Bethesda Wellness & Recovery LLC
- Better Hearing Centers of Glasgow, Ky, Inc.
- Bio-Medical Applications of Kentucky, Inc.
- Ashley Garrett Biven
- Lana Blaine
- Jessica Lynn Blair
- Madeline Rose Blair
- Monica T Bledsoe
All providers in Glasgow, KY · Occupational Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2007. 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.