Individual
LEIGH THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/LP
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(304) 363-5633
Mailing address
9325 TUCKERS CREEK RD, ELIZABETH, WV 26143-5197
(130) 458-8703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
LPT409
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
574877781521
MEDICAL MUTUAL
—
Enumeration date
07/08/2018
Last updated
07/08/2018
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