Individual
BROOKE LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
212 BLANCHARD AVE, OTTAWA, OH 45875-9634
(419) 796-8543
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.008910
OH
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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