Individual
MRS. LEAH H TETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6330 TROON LN SE, OLYMPIA, WA 98501-9108
(318) 572-4955
Mailing address
6330 TROON LANE SE, OLYMPIA, WA 98501
(318) 572-4955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
109966
TX
225X00000X
Occupational Therapist
12141
CA
225X00000X
Occupational Therapist
3662
TN
225X00000X
Occupational Therapist
5594
NC
225X00000X
Occupational Therapist
Primary
OT60407144
WA
225X00000X
Occupational Therapist
OTT.Z12384
LA
225X00000X
Occupational Therapist
R3652
KY
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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