Individual
LAUREL A LEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1465 OAKFIELD DR, BRANDON, FL 33511-4854
(813) 655-0404
Mailing address
1564 LONG POND DR, VALRICO, FL 33594-4424
(813) 300-0367
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11394
FL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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