Provider Demographics
NPI:1649582818
Name:HARPER, LESLIE DAWN (OTR/L, LMT, CLT)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:DAWN
Last Name:HARPER
Suffix:
Gender:F
Credentials:OTR/L, LMT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 BROOKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14610-1017
Mailing Address - Country:US
Mailing Address - Phone:585-703-9551
Mailing Address - Fax:
Practice Address - Street 1:86 BROOKFIELD RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14610-1017
Practice Address - Country:US
Practice Address - Phone:585-703-9551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-05
Last Update Date:2010-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011598-1225XP0019X
NY024306225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist