Individual
LEAH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
2701 AIRPORT FWY STE A, FORT WORTH, TX 76111-2378
(682) 564-5476
Mailing address
417 TROXELL BLVD, RHOME, TX 76078-4422
(817) 881-4961
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123702
TX
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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