Most Relevant Information
Provider Data
| NPI Number: | 1003358029 |
| Provider Name: | GABRIELLE LEISTER |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 10223 |
Most Important Dates
| Enumeration Date: | 11/08/2016 |
| Last Updated: | 04/04/2020 |
Provider Practice Location
710 JULIAN RD
SALISBURY
NC
281479079
Practice Location Phone/Fax
| Phone: | 7046365812 |
| Fax: |
Provider Mailing Location
11411 WINNERS CIR
CHARLOTTE
NC
282156088
Provider Mailing Phone/Fax
| Phone: | 7175136959 |
| Fax: |