NPI 1164015996
Lesli Diane Payne, COTAL
Practice location
- Address
- 220 Village Cir, Ponca City, OK 74601-4021
- Phone
- (580) 762-0121
- Fax
- (580) 576-7553
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1164015996
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Feb 2021
- Record last updated
- 16 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.