SearchMontana225X00000X

Leslie Wallace, OT

NPI 1750444956 · on the registry since 2006 · sole proprietor

Practice

Address
43922 Canal Rd
Ronan, MT 59864
Phone
(406) 676-2912
Fax
(406) 676-2912

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
225XP0200X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana