Individual
CHRISTEN LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 KAYMIN RIDGE RD, HENDERSON, NV 89052-5843
(702) 371-3994
Mailing address
2460 KAYMIN RIDGE RD, HENDERSON, NV 89052-5843
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0588
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100512190
—
NV
Enumeration date
04/19/2007
Last updated
05/29/2008
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