Individual
KENNETH ALLEN VANDERLEEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4310 E GRANT RD, TUCSON, AZ 85712-2607
(520) 323-9351
Mailing address
4310 E GRANT RD, TUCSON, AZ 85712-2607
(520) 323-9351
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
408
AZ
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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