Individual
MARY L LEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
181 SO FRONTAGE ROAD WEST, VAIL, CO 81657
(970) 668-3169
(970) 668-3243
Mailing address
PO BOX 40000, VAIL, CO 81658-7520
(970) 668-3169
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AA334425
CO
225XH1200X
Hand Occupational Therapist
AA334425
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235180308
—
CO
05
—
17408776
—
CO
Enumeration date
10/31/2006
Last updated
02/09/2022
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