Provider Demographics
NPI:1104051325
Name:NESMITH, LESLEY NICOLE (MA, OTR/L, ATP)
Entity type:Individual
Prefix:MRS
First Name:LESLEY
Middle Name:NICOLE
Last Name:NESMITH
Suffix:
Gender:F
Credentials:MA, OTR/L, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 HAMLIN ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2451
Mailing Address - Country:US
Mailing Address - Phone:202-270-7928
Mailing Address - Fax:
Practice Address - Street 1:1303 HAMLIN ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2451
Practice Address - Country:US
Practice Address - Phone:202-270-7928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOT857171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor