Guglielmello, Leslie Marie
Guglielmello, Leslie Marie is an individual health care provider with primary practice located at 1000 Johnnie Dodds Blvd Ste 103-213 , Mount Pleasant SC 29464-3135. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Guglielmello, Leslie Marie can be contacted via phone (843) 425-2828.Contact Information
Primary practice address
1000 Johnnie Dodds Blvd Ste 103-213
Mount Pleasant SC 29464-3135
Phone: (843) 425-2828
Fax: (843) 388-6346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2647 | South Carolina |
Profile Details
| NPI number | 1104044080 |
|---|---|
| LBN Legal business name | Guglielmello, Leslie Marie |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Jun 4th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104044080 | NPPES |
| South Carolina | MEDICAID | TH1290 | |
| South Carolina | MEDICAID | GP4166 | |
| South Carolina | Other | 97530 |
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