Individual
MR. PAUL BRYAN LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR,L, CLT
Contact information
Practice address
3895 OLD VINEYARD RD, WINSTON SALEM, NC 27104-4809
(336) 283-9174
(336) 283-9174
Mailing address
3895 OLD VINEYARD RD, WINSTON SALEM, NC 27104-4809
(336) 283-9174
(336) 283-9174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1029
SC
225X00000X
Occupational Therapist
9348
NC
Other
Enumeration date
03/30/2010
Last updated
09/02/2014
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