Individual
LEIGH ALICE DISMUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3535 N HALL ST, DALLAS, TX 75219-5416
(214) 559-7015
Mailing address
236 SAMUEL BLVD APT 2Q, COPPELL, TX 75019-3048
(972) 965-5923
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105700
TX
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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