Individual
KIRSTEN D LEAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 WILLOW ST, NASHVILLE, IN 47448-7013
(812) 988-6666
Mailing address
55 WILLOW ST, NASHVILLE, IN 47448-7013
(317) 200-8846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007090A.
IN
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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