Provider Demographics
NPI:1144341553
Name:PRESCOTT, LESLIE (OTD, OTR/L, SCLV)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:
Last Name:PRESCOTT
Suffix:
Gender:F
Credentials:OTD, OTR/L, SCLV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LAROVERA TER
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-1555
Mailing Address - Country:US
Mailing Address - Phone:203-439-6306
Mailing Address - Fax:
Practice Address - Street 1:1 LAROVERA TER
Practice Address - Street 2:
Practice Address - City:ANSONIA
Practice Address - State:CT
Practice Address - Zip Code:06401-1555
Practice Address - Country:US
Practice Address - Phone:203-439-6306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003400225XL0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision