Individual
LEIGH D CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2367 GA HIGHWAY 88, HEPHZIBAH, GA 30815-4630
(706) 592-5565
Mailing address
2367 GA HIGHWAY 88, HEPHZIBAH, GA 30815-4630
(706) 592-5565
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4595
GA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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