Individual
NANCY LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
112 SHADY OAKS TRL, LIBERTY HILL, TX 78642-3945
(512) 771-4219
Mailing address
112 SHADY OAKS TRL, LIBERTY HILL, TX 78642-3945
(512) 771-4219
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
000868
TX
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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