Individual
KATHRYN LEATHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 OLD NORCROSS ROAD, SUITE 100, LAWRENCEVILLE, GA 30046
(678) 377-2833
(678) 377-2882
Mailing address
545 OLD NORCROSS ROAD, SUITE 100, LAWRENCEVILLE, GA 30046
(678) 377-2833
(678) 377-2882
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT004767
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT004767
GA
Other
Enumeration date
07/08/2008
Last updated
10/14/2010
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