Individual
MR. LEON ELLERB JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA/L 2838
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4210
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA2838
OH
Other
Enumeration date
11/09/2013
Last updated
11/09/2013
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