IndividualActive
Leslie Wallace, OT
NPI 1750444956 · Occupational Therapist · Ronan, MT
Provider details
- NPI number
- 1750444956
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 186 (MT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
43922 Canal Rd
Ronan, MT 59864-9192
Phone: (406) 676-2912
Fax: (406) 676-2912
Approximate (ZIP-level) locationGet directions
Mailing address
43922 Canal Rd
Ronan, MT 59864-9192
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.