Provider Demographics
NPI:1437363710
Name:HUNNEWELL, LESLIE WEEKS (MS OTR)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:WEEKS
Last Name:HUNNEWELL
Suffix:
Gender:F
Credentials:MS OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2593 S KENDRICK CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-5538
Mailing Address - Country:US
Mailing Address - Phone:207-751-3988
Mailing Address - Fax:
Practice Address - Street 1:41 RIVER TER APT 4105
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10282-1128
Practice Address - Country:US
Practice Address - Phone:207-751-3988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH064224225X00000X
NY0141401225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist