Provider Demographics
NPI:1841503521
Name:LESENSKY, SHEILA (OT)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:
Last Name:LESENSKY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 W. MAIN ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902
Mailing Address - Country:US
Mailing Address - Phone:203-253-7037
Mailing Address - Fax:203-750-0043
Practice Address - Street 1:2001 W. MAIN ST
Practice Address - Street 2:SUITE 160
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902
Practice Address - Country:US
Practice Address - Phone:203-253-7037
Practice Address - Fax:203-750-0043
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2021-07-21
Deactivation Date:2021-06-22
Deactivation Code:
Reactivation Date:2021-07-21
Provider Licenses
StateLicense IDTaxonomies
CT001108225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics